Kaitlyn Hall, PT, DPT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

080835 Issued in IA

Practice address

225 E Hickman Rd
Waukee, IA 50263-5022

Phone

(515) 987-6267

NPI assigned

Aug 26, 2016

Last updated

Aug 26, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Kaitlyn Johnson Former name

Medicare fee-for-service enrollment

Enrolled in IA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2016

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Work Systems Rehab PCGroup PAC ID 5193619625, 35 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Work Systems Rehab, PC

  dba Kinetic Edge Physical Therapy

  • Physical Therapist
  • Pella, IA
  • NPI 1417047317
  Medicare reassignment Care Compare group NPD
• Absolute Performance Therapy, PC

  • Physical Medicine & Rehabilitation Physician
  • Waukee, IA
  • NPI 1902971898

  Physical Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1472169600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1472169600000",
    "number": "1902352305",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1806 BENNETT DR APT 11",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502655590",
            "telephone_number": "515-707-3087"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "225 E HICKMAN RD",
            "city": "WAUKEE",
            "state": "IA",
            "postal_code": "502635022",
            "telephone_number": "515-987-6267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "KAITLYN",
        "credential": "PT, DPT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-08-26",
        "last_updated": "2016-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "080835",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KAITLYN",
            "last_name": "JOHNSON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Tyler Green, PT, DPT
• Emily Joan Greving
• GRX Holdings LLC (Medicap Pharmacy)
• Guardin Transport LLC
• Sapna Sondhi Gupta, D.O.
• Hammer & Forge Chiropractic LLC
• Nancy I Hammond, DDS MS
• Laura Imming Hanson, PT, DPT
• Harmony Home Care LLC
• Elyse Rose Harper, M.F.C.S, LMFT

• Physical Therapist in Waukee, IA
• Providers in Waukee, IA by specialty
• Physical Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.