Scott Michael Hallak, DPT
Physical Therapist in Fort Bliss, TX. Individual provider (NPI-1).
NPI number1245889591
StatusActive
Last updated in NPPESApr 29, 2025
Details
- NPI
- 1245889591
- Entity type
- Individual (NPI-1)
- Name
- Scott Michael Hallak
- Credential
- DPT
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Sep 10, 2019
- Certification date
- Apr 29, 2025
- Last updated
- Apr 29, 2025
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 1325857 | TX | Yes |
Practice location
18511 Highlander Medics StFort Bliss, TX 79906-5327
Phone 661-917-3103
Mailing address
18511 Highlander Medics StFort Bliss, TX 79906-5327
Phone 661-917-3103
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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