Mikaela Hall, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

A1586 Issued in NV

Practice address

9480 Double Diamond Pkwy Ste 200
Reno, NV 89521-5842

Phone

(775) 348-8800

Fax

(833) 687-1419

NPI assigned

Feb 9, 2024

Last updated

Feb 9, 2024By 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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1707436800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1707436800000",
    "number": "1912761941",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3775 ERIN DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894363721",
            "telephone_number": "775-544-1835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9480 DOUBLE DIAMOND PKWY STE 200",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895215842",
            "telephone_number": "775-348-8800",
            "fax_number": "833-687-1419"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "MIKAELA",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-02-09",
        "last_updated": "2024-02-09",
        "certification_date": "2024-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NV",
            "license": "A1586",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jessica Hall, DPT
• Jocelyn Hall
• Kelly Dawn Hall, PA-C
• Lindsey Marie Hall, APRN
• Lynnette Hall
• Scott L. Hall, MD
• Stanley Stevens Hall III
• Wesley Walker Hall Jr., M.D.
• Cynthia Hallam
• Steven Campbell Hallan, PT

• Physical Therapy Assistant in Reno, NV
• Providers in Reno, NV by specialty
• Physical Therapy Assistant in Nevada

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2024; 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.