NPIMap

Organization Active NPI

Hollies Essential Wellness LLC

  • Physical Therapy Assistant
  • Willowbrook, IL
National Provider Identifier
1043098858
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
Legal business name
HOLLIES ESSENTIAL WELLNESS LLC
Practice address
16 501 W. Nielson LN.
Willowbrook, IL 60527
Phone
(630) 455-5885
NPI assigned
Sep 21, 2023
Last updated
Sep 21, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Authorized official

Name
Hollie Jean Patton, PTANPI 1679356190
Title
Owner
Phone
(708) 372-8617

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X Primary

Addresses

Primary practice location

16 501 W. Nielson LN.
Willowbrook, IL 60527

Mailing address

155 Boxelder St
Bolingbrook, IL 60490-2024
Phone (708) 372-8617

National Provider Directory

National Provider Directory

Locations

16W501 Nielson Ln
Willowbrook, IL 60527
Phone (630) 455-5885

Practitioners & affiliated clinicians

Practitioners 7

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1695254400000",
    "number": "1043098858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 BOXELDER ST",
            "city": "BOLINGBROOK",
            "state": "IL",
            "postal_code": "604902024",
            "telephone_number": "708-372-8617"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16 501 W. NIELSON LN.",
            "city": "WILLOWBROOK",
            "state": "IL",
            "postal_code": "60527",
            "telephone_number": "630-455-5885"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLIES ESSENTIAL WELLNESS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-20",
        "status": "A",
        "authorized_official_last_name": "PATTON",
        "authorized_official_first_name": "HOLLIE",
        "authorized_official_middle_name": "JEAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "708-372-8617",
        "authorized_official_credential": "PTA"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Willowbrook, IL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.