Individual provider Active NPI

Jarod Hall, D.P.T

  • Physical Therapist
  • Fort Worth, TX
National Provider Identifier
1952714800
Registry record updated Jun 9, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1242687 Issued in TX
Practice address
12457 Timberland Blvd
205
Fort Worth, TX 76244-5210
Phone
(817) 562-5001
Fax
(817) 562-5007
NPI assigned
Jun 9, 2014
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 9, 2014

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1242687 TX Primary

Addresses

Primary practice location

12457 Timberland Blvd
205
Fort Worth, TX 76244-5210

Mailing address

12457 Timberland Blvd
205
Fort Worth, TX 76244-5210
Phone (817) 562-5001

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1242687TXMDPhysical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1402272000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1402272000000",
    "number": "1952714800",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12457 TIMBERLAND BLVD",
            "address_2": "205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445210",
            "telephone_number": "817-562-5001",
            "fax_number": "817-562-5007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12457 TIMBERLAND BLVD",
            "address_2": "205",
            "city": "FORT WORTH",
            "state": "TX",
            "postal_code": "762445210",
            "telephone_number": "817-562-5001",
            "fax_number": "817-562-5007"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JAROD",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2014-06-09",
        "last_updated": "2014-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1242687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Worth, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 9, 2014; 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.