Active NPI
Samuel Ross Hall, P.T.
- Orthopedic Physical Therapist
- Woodstock, GA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT009344
- Practice address
- 2230 Towne Lake Pkwy
BLDG 1200, Suites 100 & 110
Woodstock, GA 30189-5540 - Phone
- (770) 926-2744
- Fax
- (770) 926-2794
- NPI assigned
- Jul 3, 2008
- Last updated
- Nov 18, 2010
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | PT009344 | GA | Primary |
Addresses
Primary practice location
2230 Towne Lake Pkwy
BLDG 1200, Suites 100 & 110
Woodstock, GA 30189-5540
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in GA
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT009344 | GA | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Benchmark Physical Therapy, Inc | Current | Accepting new patients | |
| Independent Physical Therapy of Georgia, LLC | Orthopedic | Current | Accepting new patients |
| Benchmark Physical Therapy Inc | Current | Accepting new patients | |
| Agilitas USA, Inc | Orthopedic | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Current | Accepting new patients | |
| Independent Physical Therapy of Ga, LLC | Current | Accepting new patients | |
| Agilitas USA Inc | Orthopedic | Current | Accepting new patients |
| Independent Physical Therapy of Georgia, LLC | Past | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
12850 Highway 9 N
Ste 1050
Alpharetta, GA 30004
Phone (678) 332-5800
1025 E West Connector
Ste 406
Austell, GA 30106
Phone (770) 384-1001
7130 Mount Zion Blvd
Ste 9
Jonesboro, GA 30236
Phone (770) 603-5660
11490 Alpharetta Hwy
Ste 200
Roswell, GA 30076
Phone (770) 740-8592
6397 Lee Hwy
Ste 300
Chattanooga, TN 37421
Phone (423) 238-8923
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
Organizations & group practices 8
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.
-
- Physical Therapy Clinic/Center
- Duluth, GA
- NPI 1083666903
-
dba BenchMark Physical Therapy
- Physical Therapist
- Fort Oglethorpe, GA
- NPI 1780636068
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Hixson, TN
- NPI 1962417444
GA, Orthopedic
-
- Physical Therapist
- Riverdale, GA
- NPI 1427000777
-
- Physical Therapy Clinic/Center
- Atlanta, GA
- NPI 1851604375
-
dba Benchmark PT
- Occupational Therapist
- Gainesville, GA
- NPI 1306013941
Orthopedic
-
dba Results Physiotherapy
- Physical Therapy Clinic/Center
- Chattanooga, TN
- NPI 1518695436
Orthopedic
-
dba BenchMark Physical Therapy
- Physical Therapy Clinic/Center
- Woodstock, GA
- NPI 1912950569
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1215043200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1290038400000",
"number": "1972766640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2230 TOWNE LAKE PKWY",
"address_2": "BLDG 1200, SUITES 100 & 110",
"city": "WOODSTOCK",
"state": "GA",
"postal_code": "301895540",
"telephone_number": "770-926-2744",
"fax_number": "770-926-2794"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "SAMUEL",
"middle_name": "ROSS",
"credential": "P.T.",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2008-07-03",
"last_updated": "2010-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "GA",
"license": "PT009344",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Woodstock, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.