Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of October 4, 2026.
NPIDirectory

Mrs. Mary Patricia Hall, PT

Individual provider Physical Therapist · NPI 1154330496

Mrs. Mary Patricia Hall, PT is registered under Physical Therapist in Private Practice in Poway, California. Qualified in 1987, 39 years ago. Practices with Proactive Physical Therapy and Sports Medicine Inc, a 51-clinician group. Licensed in California.

Years since qualifying
39
Licensed in
CA
In the registry since
2006
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

12630 Monte Vista Rd Ste 204
Poway, CA 92064-2530 Not confirmed with CMS for 19 years — call before visiting
Phone: (858) 485-7103
Fax: (858) 485-7107
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence PT14997 (CA)

Record details

NPI number1154330496
Entity typeIndividual (Type 1)
GenderFemale
Credentials PT
Sole proprietorYes
NPI enumeratedAugust 5, 2006
Last updated in NPPESJuly 8, 2007

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1987 (39 years in practice)
Group practice Proactive Physical Therapy And Sports Medicine Inc — 51 clinicians
Accepts Medicare assignment Not indicated
Practice locations2 on file with Medicare

Medicare patients and services, 2024

From the CMS Medicare Physician & Other Practitioners file for calendar year 2024. It counts Original Medicare patients only, so a practice that mostly sees Medicare Advantage or privately insured patients looks smaller here than it is.

Medicare patients165
Services billed 5,454 a service is one billed item, such as a visit, a test or a procedure
Average patient age72

Dollar amounts are not shown. What Medicare pays a practice is gross billings, before staff, premises and tax and including the cost of any drugs it administers, so it is not what a clinician earns.

Colleagues at Proactive Physical Therapy and Sports Medicine Inc

Clinicians the CMS Doctors & Clinicians file lists under the same group practice. CMS counts 51 clinicians in the practice; 12 are shown here.

Other providers in Poway