Timothy Allen Hall, MS, BCTMB-LMT, C-EP

Primary specialty

Massage TherapistTaxonomy code 225700000X

License

04035 Issued in IA

Practice address

1200 Valley West Dr Ste 404
West Des Moines, IA 50266-1905

Phone

(520) 709-3692

NPI assigned

Apr 9, 2021

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Science

State licenses

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

{
    "created_epoch": "1617926400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617926400000",
    "number": "1992385488",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 46TH ST",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502652910",
            "telephone_number": "520-709-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1200 VALLEY WEST DR STE 404",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661905",
            "telephone_number": "520-709-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALL",
        "first_name": "TIMOTHY",
        "middle_name": "ALLEN",
        "credential": "MS, BCTMB-LMT, C-EP",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-04-09",
        "last_updated": "2021-04-09",
        "certification_date": "2021-04-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "133N00000X",
            "taxonomy_group": "",
            "desc": "Nutritionist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "224Y00000X",
            "taxonomy_group": "",
            "desc": "Clinical Exercise Physiologist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "",
            "desc": "Massage Therapist",
            "state": "IA",
            "license": "04035",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erin Hale
• Jennifer Lee Hall, DPM
• Michelle Catherine Hall, PTA
• Robin Hall, MS,OTR/L
• Summer Hall, LISW, IADC
• H William Halling, MD
• Sarah Renee Halverson, PHARMD
• Nadia Hameed
• Elizabeth Jordan Hamer, P.A.-C
• Almas Hamir, A.R.N.P.

• Massage Therapist in West Des Moines, IA
• Providers in West Des Moines, IA by specialty
• Massage Therapist in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2021; 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.