Mary L Hollingsworth, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT3411 Issued in MS

Practice address

745 S Pear Orchard Rd
Ridgeland, MS 39157-5128

Phone

(601) 260-4605

NPI assigned

May 18, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Enrolled in MS, AL2 enrollments

Enrollment records 2

Specialty

Physical Therapist in Private Practice

Education

Other, 2001

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Mobility Rehab LLCGroup PAC ID 3577821008, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Mobility Rehab LLC

  • Rehabilitation Clinic/Center
  • Montgomery, AL
  • NPI 1487145918

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Mobility Rehab LLC

  • Rehabilitation Clinic/Center
  • Ridgeland, MS
  • NPI 1407376452
  Medicare reassignment
• Eden Rehab LLC

  • Physical Therapy Assistant
  • Brandon, MS
  • NPI 1558664250

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1381968000000",
    "number": "1063620581",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 S PEAR ORCHARD RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575128",
            "telephone_number": "601-260-4605"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "745 S PEAR ORCHARD RD",
            "city": "RIDGELAND",
            "state": "MS",
            "postal_code": "391575128",
            "telephone_number": "601-260-4605"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "MARY",
        "middle_name": "L",
        "name_prefix": "Mrs.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-18",
        "last_updated": "2013-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT3411",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "00124646",
            "state": "MS"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MS LICENSE",
            "identifier": "PT3411",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Britton R Hogue
• Dennis R Holder
• Ashli Holliman, SLP
• Jasmine C. Hollinger, M.D.
• Mary Amber Hollingsworth, OTR/L
• Daniel James Holloway
• Felicia Marie Holmes, OTR-L
• Deborah Jones Holt, PHD, LMSW
• Hilarie Nixon Holt, OD
• Homecare Plus, Inc.

• Physical Therapist in Ridgeland, MS
• Providers in Ridgeland, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.