Individual provider Active NPI

Joshua Lee Hall, PT, DPT

  • Physical Therapist
  • Heber City, UT
National Provider Identifier
1972992048
Registry record updated Jan 13, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
92546902401 Issued in UT
Practice address
380 E 1500 S Ste 102
Heber City, UT 84032-3940
Phone
(435) 657-4690
NPI assigned
Jan 13, 2015
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 13, 2015

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 92546902401 UT Primary

Addresses

Primary practice location

380 E 1500 S Ste 102
Heber City, UT 84032-3940

Mailing address

380 E 1500 S Ste 102
Heber City, UT 84032-3940
Phone (435) 657-4690

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180501000466 UT Practitioner - Physical Therapist in Private Practice 5294099107 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
92546902401UTMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Physician Group of Utah Inc CurrentSince Feb 22, 2018 Accepting new patients
Ihc Health Services, Inc. Past Accepting new patients

Locations

9350 S 150 E
Ste 150
Sandy, UT 84070
Phone (314) 872-1439

1840 S 1300 E
Slc, UT 84105
Phone (801) 832-2200

3580 W 90th S
West Jordan, UT 84088
Phone (801) 263-0810

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1421107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421107200000",
    "number": "1972992048",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "380 E 1500 S STE 102",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-657-4690"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "380 E 1500 S STE 102",
            "city": "HEBER CITY",
            "state": "UT",
            "postal_code": "840323940",
            "telephone_number": "435-657-4690"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "JOSHUA",
        "middle_name": "LEE",
        "name_prefix": "Dr.",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-01-13",
        "last_updated": "2015-01-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "UT",
            "license": "92546902401",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber City, UT

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 13, 2015; 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.

Verify at the official NPI Registry.