Active NPI
Belisena Hall, PT, DPT
- Physical Therapist
- Modesto, CA
National Provider Identifier
1992563407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26998
- Practice address
- 4601 Dale Rd
Modesto, CA 95356-9718 - Phone
- (209) 825-3696
- NPI assigned
- Mar 8, 2024
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26998 | MA | Primary |
Addresses
Primary practice location
4601 Dale Rd
Modesto, CA 95356-9718
Mailing address
504 Smith Rd
Gouverneur, NY 13642-4333
Phone (315) 955-5977
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 |
|---|---|---|---|
| 26998 | MA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1709856000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1709856000000",
"number": "1992563407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "504 SMITH RD",
"city": "GOUVERNEUR",
"state": "NY",
"postal_code": "136424333",
"telephone_number": "315-955-5977"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4601 DALE RD",
"city": "MODESTO",
"state": "CA",
"postal_code": "953569718",
"telephone_number": "209-825-3696"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HALL",
"first_name": "BELISENA",
"name_prefix": "Dr.",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2024-03-08",
"last_updated": "2024-03-08",
"certification_date": "2024-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MA",
"license": "26998",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Modesto, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 8, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.