Individual provider Active NPI

Ruth Ann Halls, PT

  • Physical Therapist
  • Moorhead, MN
National Provider Identifier
1992742985
Registry record updated May 3, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
7655 Issued in MN
Practice address
801 Belsly Blvd
Moorhead, MN 56560-5055
Phone
(701) 364-6800
Fax
(701) 364-6828
NPI assigned
May 31, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 3, 2012

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

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 852 ND
Physical Therapist 225100000X 2156 MN
Physical Therapist 225100000X 5501008624 MI
Physical Therapist 225100000X 7655 MN Primary

Addresses

Primary practice location

801 Belsly Blvd
Moorhead, MN 56560-5055

Mailing address

PO Box 6001
Fargo, ND 58108-6001
Phone (701) 364-6800

Other identifiers 1

IdentifierTypeStateIssuer
1992742985MedicaidMN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20040517001083 ND Practitioner - Physical Therapist in Private Practice 1254321649 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5501008624MIMDPhysical Therapist
7655MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Innovis Health LLC CurrentSince May 7, 2012 Accepting new patients
Innovis Health, LLC Current Accepting new patients
Innovis Health LLC CurrentSince May 7, 2012 Accepting new patients

Locations

801 Belsly Blvd
Moorhead, MN 56560
Phone (218) 364-6800

3000 32nd Ave S
Fargo, ND 58103
Phone (701) 364-3000

1200 Harwood Dr S
Fargo, ND 58104
Phone (701) 451-4811

Organizations & group practices 3

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": "1336003200000",
    "number": "1992742985",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 6001",
            "city": "FARGO",
            "state": "ND",
            "postal_code": "581086001",
            "telephone_number": "701-364-6800",
            "fax_number": "701-364-6828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "801 BELSLY BLVD",
            "city": "MOORHEAD",
            "state": "MN",
            "postal_code": "565605055",
            "telephone_number": "701-364-6800",
            "fax_number": "701-364-6828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HALLS",
        "first_name": "RUTH",
        "middle_name": "ANN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-31",
        "last_updated": "2012-05-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ND",
            "license": "852",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "2156",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MI",
            "license": "5501008624",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "7655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1992742985",
            "state": "MN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Moorhead, MN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 3, 2012; 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.