Active NPI
Lynn Hollins
- Physical Therapy Assistant
- Upland, CA
National Provider Identifier
1033645288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA10729
- Practice address
- 1042 N Mountain Ave # 531
Upland, CA 91786-3695 - Phone
- (801) 372-9380
- NPI assigned
- May 10, 2017
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA10729 | CA | Primary |
| Physical Therapy Assistant | 225200000X | 8575377-2402 | UT |
Addresses
Primary practice location
1042 N Mountain Ave # 531
Upland, CA 91786-3695
Mailing address
1042 N Mountain Ave #531
Upland, CA 91786
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 |
|---|---|---|---|
| PTA10729 | CA | MD | Physical Therapy Assistant |
| 8575377-2402 | UT | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1494374400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1494374400000",
"number": "1033645288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1042 N MOUNTAIN AVE #531",
"city": "UPLAND",
"state": "CA",
"postal_code": "91786"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1042 N MOUNTAIN AVE # 531",
"city": "UPLAND",
"state": "CA",
"postal_code": "917863695",
"telephone_number": "801-372-9380"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINS",
"first_name": "LYNN",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2017-05-10",
"last_updated": "2017-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "CA",
"license": "PTA10729",
"primary": true
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "UT",
"license": "8575377-2402",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Upland, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.