Michael Joseph Hall, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT36813 Issued in FL

Practice address

505A Atlantic Ave
Interlachen, FL 32148-5433

Phone

(386) 684-9110

Fax

(386) 684-9255

NPI assigned

Feb 12, 2021

Last updated

Feb 12, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Enrolled in FL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Interoperability endpoints

• Direct secure messaging: michael.hall.2@14940.direct.athenahealth.com

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

• Rehab Advantage Solutions, PLLC

  dba TMC Therapy at Home

  • Physical Therapist
  • Homosassa, FL
  • NPI 1164908307
  Medicare reassignment NPD

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

{
    "created_epoch": "1613088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613088000000",
    "number": "1871186668",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "505A ATLANTIC AVE",
            "city": "INTERLACHEN",
            "state": "FL",
            "postal_code": "321485433",
            "telephone_number": "386-684-9110",
            "fax_number": "386-684-9255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505A ATLANTIC AVE",
            "city": "INTERLACHEN",
            "state": "FL",
            "postal_code": "321485433",
            "telephone_number": "386-684-9110",
            "fax_number": "386-684-9255"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "195 S US Highway 17 Ste 1",
            "address_purpose": "LOCATION",
            "city": "East Palatka",
            "state": "FL",
            "postal_code": "321314042",
            "country_code": "US",
            "telephone_number": "386-684-9110",
            "fax_number": "386-684-9255",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "MICHAEL",
        "middle_name": "JOSEPH",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-02-12",
        "last_updated": "2021-02-12",
        "certification_date": "2021-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT36813",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ashley Ellison, APRN
• Julie Elwood
• Charlene Louise Emanuel
• Meagan Feibelman
• Starr Hancock Gainey
• Ashley Hamby, IBCLC
• Holiday CVS LLC (CVS Pharmacy 03663)
• Khawk Logistics, LLC (Matos LeBron Consulting)
• Zulma Lopez Rivera, MD
• Rhonda Jeanne Lowry-McEntire, LMHC

• Physical Therapist in Interlachen, FL
• Providers in Interlachen, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.