Mary Pat Hall Physical Therapy Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT14997 Issued in CA

Legal business name

MARY PAT HALL PHYSICAL THERAPY INC

Doing business as

Physical Therapy Institute, Inc.

Practice address

12630 Monte Vista Rd
Suite 101
Poway, CA 92064-2530

Phone

(858) 485-7103

Fax

(858) 485-7107

NPI assigned

Aug 5, 2006

Organization subpart

Yes

Parent organization

PT14997As reported in NPPES

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

Authorized official

Name

Mrs. Mary Pat Hall, P.T.

Title

Physical Therapist / Owner

Phone

(858) 485-7103

Specialties & licenses 1

Addresses

Other names 1

• Physical Therapy Institute, Inc. Doing business as

Part of

Mary Pat Hall Physical Therapy Inc

Locations

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

{
    "created_epoch": "1154736000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517443200000",
    "number": "1952310583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD",
            "address_2": "SUITE 101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642530",
            "telephone_number": "858-485-7103",
            "fax_number": "858-485-7107"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12630 MONTE VISTA RD",
            "address_2": "SUITE 101",
            "city": "POWAY",
            "state": "CA",
            "postal_code": "920642530",
            "telephone_number": "858-485-7103",
            "fax_number": "858-485-7107"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY PAT HALL PHYSICAL THERAPY INC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "PT14997",
        "enumeration_date": "2006-08-05",
        "last_updated": "2018-02-01",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MARY",
        "authorized_official_middle_name": "PAT",
        "authorized_official_title_or_position": "PHYSICAL THERAPIST / OWNER",
        "authorized_official_telephone_number": "858-485-7103",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "P.T."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "PT14997",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Physical Therapy Institute, Inc.",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Daniela Martinez
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• Vanessa Martinez
• Mary L Sanfelippo, MD
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• Monique Masse, M.D.
• Vianney Maximiliano Ocegueda
• Nicholas Mazzuca
• Shanika R McAallister

• Physical Therapist in Poway, CA
• Providers in Poway, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2018; 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.