Active NPI
Jakke Lou Hall, PT
- Pediatric Physical Therapist
- Billings, MT
National Provider Identifier
1982962171
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PTP-PT-LIC-223
- Practice address
- 2900 12TH Ave N Ste 20W
Billings, MT 59101-7518 - Phone
- (406) 237-7100
- Fax
- (406) 238-6855
- NPI assigned
- Apr 25, 2012
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | PTP-PT-LIC-223 | MT | Primary |
Addresses
Primary practice location
2900 12TH Ave N Ste 20W
Billings, MT 59101-7518
Mailing address
2900 12TH Ave N Ste 20W
Billings, MT 59101-7518
Phone (406) 237-7100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTP-PT-LIC-223 | MT | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SCL Health Montana | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Multi-Specialty Clinic/Center
- Billings, MT
- NPI 1922039890
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1335312000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1335312000000",
"number": "1982962171",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2900 12TH AVE N STE 20W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017518",
"telephone_number": "406-237-7100",
"fax_number": "406-238-6855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2900 12TH AVE N STE 20W",
"city": "BILLINGS",
"state": "MT",
"postal_code": "591017518",
"telephone_number": "406-237-7100",
"fax_number": "406-238-6855"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "JAKKE",
"middle_name": "LOU",
"name_prefix": "Ms.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-04-25",
"last_updated": "2012-04-25",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "MT",
"license": "PTP-PT-LIC-223",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Billings, MT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.