MRS. MARY PATRICIA HALL (PT) – Physical Therapist, NPI 1154330496

MRS. MARY PATRICIA HALL (PT) is a healthcare provider. based in Poway, California. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials PT. They hold a License No. PT14997 (CA). The NPI Number for MRS. MARY PATRICIA HALL (PT) is 1154330496

Main info

Female
Sole Proprietor
39 Years Of Experience
Name
MRS. MARY PATRICIA HALL (PT)
NPI
1154330496
Phone
(858) 485-7103
Address
12630 MONTE VISTA RD
Enumeration Date
5 August 2006
Last Update Date
8 July 2007

Doctor Profile

Medical School Name
OTHER
Secondary Phone
7604440102
Graduation Year
1987 (39 years ago)
PAC ID
4789609967
Group Practice PAC ID
1557369436
Professional Enrollment ID
I20051007000539
Address ID
CA920111001CA6070XENCI301
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience52
Completeness75
Years active:19State licenses:1Digital endpointsOther names

9,449 PHYSICAL THERAPIST IN PRIVATE PRACTICE in CA

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Provider Addresses for MRS. MARY PATRICIA HALL (PT)

  • 12630, Monte Vista Road, Poway, San Diego County, California, 92064, United States

    STE. 204

    POWAY, CA 920642530

    Phone: (858) 485-7103

    Fax: (858) 485-7107

    Mailing address matches the actual address.

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2005-10-07

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20051007000539IPhysical Therapist In Private PracticeCATBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97530Therapy procedure using functional activities81991$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes77496$0
G0283Electrical stimulation (unattended), to one or more areas for indication(s) other than wound care, as part of a therapy plan of care36363$0
97140Therapy procedure using manual technique, each 15 minutes27554$0
97162Evaluation for physical therapy, typically 30 minutes5753$0
View full utilization report →

Insurance plans in this area (ZIP 92064)

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Provider's Procedures

MRS. MARY PATRICIA HALL (PT) performs procedures in PHYSICAL THERAPIST IN PRIVATE PRACTICE. See the list of HCPCS codes below.
SpecialtyPractice State
HCPCS Code
Description
Service Count
Beneficiary Count
PHYSICAL THERAPYCA97001Physical therapy evaluation7975
PHYSICAL THERAPYCA97140Manual (physical) therapy techniques to 1 or more regions, each 15 minutes125296

Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 1557369436View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeSC
Physical Therapist In Private PracticeMD
Physical Therapist In Private PracticeCA
Physical Therapist In Private PracticeCA

Reviews

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Frequently asked questions

Can I cross-check MRS. MARY PATRICIA HALL (PT) using NPI 1154330496?
NPI 1154330496 belongs to MRS. MARY PATRICIA HALL (PT); compare other details if you need extra assurance.
Is MRS. MARY PATRICIA HALL (PT) shown as active in public data?
Registry records indicate MRS. MARY PATRICIA HALL (PT) maintains an active NPI.
What clinical focus is listed for MRS. MARY PATRICIA HALL (PT)?
At a glance, MRS. MARY PATRICIA HALL (PT) is tied to Physical Therapist. Clinical services aligned with this taxonomy classification.
What locale is associated with MRS. MARY PATRICIA HALL (PT)?
Directory geography for MRS. MARY PATRICIA HALL (PT) centers on Poway, California.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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