Individual provider Active NPI

Brentley W Hall, OT

  • Occupational Therapist
  • Mobile, AL
National Provider Identifier
1982641908
Registry record updated Aug 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
1514 Issued in AL
Practice address
3090 Dauphin SQ Connector
Mobile, AL 36607-2500
Phone
(251) 300-6666
Fax
(251) 300-6665
NPI assigned
May 31, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1514 AL Primary

Addresses

Primary practice location

3090 Dauphin SQ Connector
Mobile, AL 36607-2500

Mailing address

3090 Dauphin SQ Connector
Mobile, AL 36607-2500
Phone (251) 300-6666

Other identifiers 1

IdentifierTypeStateIssuer
51533861OtherALBCBS OF ALABAMA

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060628000240 AL Practitioner - Occupational Therapist in Private Practice 2860404282 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1514ALMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
Hall Therapy Services, LLC CurrentSince Mar 1, 2010 Accepting new patients
Total Spine Surgical Center LLC Past Accepting new patients

Locations

3656 Government Blvd
Ste F
Mobile, AL 36693
Phone (251) 300-6666

3090 Dauphin Sq Connector
Mobile, AL 36607
Phone (251) 300-6666

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": "1149033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1755475200000",
    "number": "1982641908",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3090 DAUPHIN SQ CONNECTOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072500",
            "telephone_number": "251-300-6666",
            "fax_number": "251-300-6665"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3090 DAUPHIN SQ CONNECTOR",
            "city": "MOBILE",
            "state": "AL",
            "postal_code": "366072500",
            "telephone_number": "251-300-6666",
            "fax_number": "251-300-6665"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "BRENTLEY",
        "middle_name": "W",
        "name_prefix": "Mr.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-31",
        "last_updated": "2025-08-18",
        "certification_date": "2025-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "1514",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS  OF ALABAMA",
            "identifier": "51533861",
            "state": "AL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Mobile, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2025; 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.