Individual provider Active NPI

Holly S Wells, PT, DPT

  • Physical Therapist
  • West Chester, PA
National Provider Identifier
1083041362
Registry record updated Oct 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT022913 Issued in PA
Practice address
1266 Arlington Ave
West Chester, PA 19380-4019
Phone
(610) 312-9833
Fax
(610) 320-2013
NPI assigned
Oct 2, 2013
Last updated
Oct 30, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT022913 PA Primary

Addresses

Primary practice location

1266 Arlington Ave
West Chester, PA 19380-4019

Mailing address

1266 Arlington Ave
West Chester, PA 19380-4019
Phone (610) 312-9833

Other names 1

  • Holly Laura Stabilit Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171109000050 PA Practitioner - Physical Therapist in Private Practice 7315203296 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Forever Strong Physical Therapy and WellnessGroup PAC ID 5294263802, 2 clinicians

Practice addresses (Care Compare)

West Chester, PA 19380
Phone (610) 312-9833

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT022913PAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Forever Strong Physical Therapy and Wellness Physical Therapist CurrentSince Nov 8, 2024 Accepting new patients
Progress Physical Therapy LLC Physical Therapist PastSince Sep 28, 2017 Accepting new patients

Networks

  • Optimum HealthCare HMO Network
  • Freedom Health HMO Network

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1380672000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730246400000",
    "number": "1083041362",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1266 ARLINGTON AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804019",
            "telephone_number": "610-312-9833",
            "fax_number": "610-320-2013"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1266 ARLINGTON AVE",
            "city": "WEST CHESTER",
            "state": "PA",
            "postal_code": "193804019",
            "telephone_number": "610-312-9833",
            "fax_number": "610-320-2013"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WELLS",
        "first_name": "HOLLY",
        "middle_name": "S",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-10-02",
        "last_updated": "2024-10-30",
        "certification_date": "2024-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT022913",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "STABILIT",
            "middle_name": "LAURA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in West Chester, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2024; 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.