Mary Hollenback, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

3425 Austin Bluffs Pkwy
105
Colorado Springs, CO 80918-5701

Phone

(719) 265-6601

Fax

(719) 265-6649

NPI assigned

Dec 8, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Practice roles

Interoperability endpoints

• FHIR API: https://fhir.nextgen.com/nge/prod/fhir-api-r4/fhir/r4/

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.

• All Abilities Health & Rehab PLLC

  • Pediatric Physical Therapist
  • Colorado Springs, CO
  • NPI 1972189215
  NPD (past)
• Orthopedic Rehabilitation Associates PC

  • Physical Therapist
  • Colorado Springs, CO
  • NPI 1801907662
  NPD (past)

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

{
    "created_epoch": "1323302400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1323302400000",
    "number": "1083982763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY",
            "address_2": "105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185701",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3425 AUSTIN BLUFFS PKWY",
            "address_2": "105",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809185701",
            "telephone_number": "719-265-6601",
            "fax_number": "719-265-6649"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBACK",
        "first_name": "MARY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-12-08",
        "last_updated": "2011-12-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Savannah Holland
• Tyeisha Holland
• Katherine Christine Hollar, LCSW
• Stephanie Holleman
• Eric Hollen
• Alexandra Hollenbeck
• Andrew Mark Hollenbeck, DPT
• Lesha Holler
• Harold Holley, LPC
• Marta L Holley, O.D.

• Physical Therapy Assistant in Colorado Springs, CO
• Providers in Colorado Springs, CO by specialty
• Physical Therapy Assistant in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 8, 2011; 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.