Laurie A Hallock, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

40QB00113200 Issued in NJ

Practice address

1515 Hulse Rd
Point Pleasant Boro, NJ 08742-4527

Phone

(732) 295-9300

Fax

(732) 295-3246

NPI assigned

Mar 21, 2007

Last updated

Jul 8, 2007By 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": "1174435200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1932224318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "541 PARKER AVE",
            "city": "BRICK",
            "state": "NJ",
            "postal_code": "087244817"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HULSE RD",
            "city": "POINT PLEASANT BORO",
            "state": "NJ",
            "postal_code": "087424527",
            "telephone_number": "732-295-9300",
            "fax_number": "732-295-3246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLOCK",
        "first_name": "LAURIE",
        "middle_name": "A",
        "name_prefix": "Miss",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-21",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "40QB00113200",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Laura Beth Goble, MSW, LCSW
• Dana Abel Gordon, PT,DPT
• Norris Alan Green III, L.M.T.
• Kennedy E Griffin, LAC
• Mark Guariglia, D.C.
• Shannon Hanrahan, LSW
• Health 4 Home LLC
• Health4Home LLC
• Healthwave Chiropractic, LLC
• Hear Me Roar Speech & Language Therapy

• Physical Therapy Assistant in Point Pleasant Boro, NJ
• Providers in Point Pleasant Boro, NJ by specialty
• Physical Therapy Assistant in New Jersey

• 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.