Organization Active NPI

Hallett Enterprises, LLC

  • Physical Therapist
  • Oregon, OH
National Provider Identifier
1861743924
Registry record updated Sep 28, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10498 Issued in OH
Legal business name
HALLETT ENTERPRISES, LLC
Practice address
3232 Navarre Ave
Oregon, OH 43616-3312
Phone
(419) 559-5591
Fax
(866) 268-5006
NPI assigned
Sep 28, 2012
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 28, 2012

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

Authorized official

Name
Thomas J Hallett II, PT, DPT
Title
Owner
Phone
(419) 559-5591

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X 10498 OH Primary

Addresses

Primary practice location

3232 Navarre Ave
Oregon, OH 43616-3312

Mailing address

256 S Gordon Dr
Oak Harbor, OH 43449-1541
Phone (419) 559-5591

Other identifiers 1

IdentifierTypeStateIssuer
3110369MedicaidOH

Other names 1

  • PT Link Doing business as

National Provider Directory

National Provider Directory

Member organizations 1

Organizations listed as members of this organization in the National Provider Directory.

Locations

3203 N Adrian Hwy
Adrian, MI 49221

3333 Sterns Rd
Lambertville, MI 48144
Phone (734) 568-6917

106 College Park Dr
Gambier, OH 43022

1757 Indian Wood Cir
Ste B
Maumee, OH 43537

11301 Upper Gilchrist Rd
Mount Vernon, OH 43050
Phone (740) 392-1407

110 S Church St
New Carlisle, OH 45344
Phone (937) 845-0260

1030 Hayes Ave
Sandusky, OH 44870

1722 W Laskey Rd
Toledo, OH 43613

3829 Woodley Rd
Bldg A
Toledo, OH 43606
Phone (419) 475-9355

1515 W Laskey Rd
Toledo, OH 43612

Practitioners & affiliated clinicians

Practitioners 19

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 19

NPI Registry JSON

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

{
    "created_epoch": "1348790400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1348790400000",
    "number": "1861743924",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "256 S GORDON DR",
            "city": "OAK HARBOR",
            "state": "OH",
            "postal_code": "434491541",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3232 NAVARRE AVE",
            "city": "OREGON",
            "state": "OH",
            "postal_code": "436163312",
            "telephone_number": "419-559-5591",
            "fax_number": "866-268-5006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HALLETT ENTERPRISES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-28",
        "last_updated": "2012-09-28",
        "status": "A",
        "authorized_official_last_name": "HALLETT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "419-559-5591",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "PT, DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "OH",
            "license": "10498",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3110369",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "PT Link",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Oregon, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 28, 2012; 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.