Gwendolyn Sue Hall, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

KY 1908 Issued in KY

Practice address

637 North Lake Drive
Prestonsburg, KY 41653

Phone

(606) 889-0838

Fax

(606) 889-0498

NPI assigned

May 8, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Advanced Functional & Industrial Therapy LLC

  • Physical Therapy Clinic/Center
  • Prestonsburg, KY
  • NPI 1093300089
  NPD Authorized official
• Eastern Kentucky Physical Therapy, PSC

  • Physical Therapy Clinic/Center
  • Prestonsburg, KY
  • NPI 1104165968
  NPD Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1178582400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1861605263",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "637 NORTH LAKE DRIVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-889-0838",
            "fax_number": "606-889-0498"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "637 NORTH LAKE DRIVE",
            "city": "PRESTONSBURG",
            "state": "KY",
            "postal_code": "41653",
            "telephone_number": "606-889-0838",
            "fax_number": "606-889-0498"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "GWENDOLYN",
        "middle_name": "SUE",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-08",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "KY",
            "license": "KY 1908",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Connor Hall
• Crystal Hall
• Debra Karen Hall, M.D.
• Dedra Hall
• Gwendolyn Miller Hall, MSW, LCSW
• Heather Hall
• Heather Hall
• James Colby Hall
• Jazmyn Hall
• Joshua Hall

• Physical Therapist in Prestonsburg, KY
• Providers in Prestonsburg, KY by specialty
• Physical Therapist in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.