Danny Joe Hollingsworth, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00009845 Issued in WA

Practice address

Comnavairfor
Bocx 357071 Nas Ni
San Diego, CA 92135-7051

Phone

(619) 545-1148

Fax

(619) 767-7417

NPI assigned

Feb 1, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1138752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292198400000",
    "number": "1104897578",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2593 NE KEVOS POND DR",
            "city": "POULSBO",
            "state": "WA",
            "postal_code": "983706320",
            "telephone_number": "619-545-1148",
            "fax_number": "619-767-7417"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "COMNAVAIRFOR",
            "address_2": "BOCX 357071 NAS NI",
            "city": "SAN DIEGO",
            "state": "CA",
            "postal_code": "921357051",
            "telephone_number": "619-545-1148",
            "fax_number": "619-767-7417"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "DANNY",
        "middle_name": "JOE",
        "name_prefix": "Dr.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-02-01",
        "last_updated": "2010-12-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "WA",
            "license": "PT00009845",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009845",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Matthew Gregory Holley, M.A.
• Shelby Lee Holliday
• Hannah Hollinger
• Jordan Hollings
• Aubrey Hollingsworth
• Dorothy Marie Hollingsworth, P.A.-C
• Jessica Hollingsworth, MD
• John M Hollingsworth, PAC
• Asia Hollins
• Deborah Hollins, C14961214

• Physical Therapist in San Diego, CA
• Providers in San Diego, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 2010; 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.