Active NPI
Sandra Jean Hollowell, MSPT
- Physical Therapist
- Beverly Hills, CA
National Provider Identifier
1124178686
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT294593
- Practice address
- 435 N Bedford Dr Ste 102
Beverly Hills, CA 90210-4319 - Phone
- (310) 385-9064
- NPI assigned
- Jan 10, 2007
- Last updated
- May 24, 2018
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 05004055A | IN | |
| Physical Therapist | 225100000X | PT294593 | CA | Primary |
Addresses
Primary practice location
435 N Bedford Dr Ste 102
Beverly Hills, CA 90210-4319
Mailing address
147 S Gretna Green Way
Los Angeles, CA 90049-4015
Phone (574) 329-1781
Other practice location 1
1628 W Beardsley Ave
Elkhart, IN 46514-1881
Phone (574) 293-9420
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 294593 | CA | MD | Registered Nurse |
| PT294593 | CA | MD | Physical Therapist |
| 05004055A | IN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| KRNS Inc | Past | Accepting new patients |
Organizations & group practices 1
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": "1168387200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527120000000",
"number": "1124178686",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "147 S GRETNA GREEN WAY",
"city": "LOS ANGELES",
"state": "CA",
"postal_code": "900494015",
"telephone_number": "574-329-1781"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "435 N BEDFORD DR STE 102",
"city": "BEVERLY HILLS",
"state": "CA",
"postal_code": "902104319",
"telephone_number": "310-385-9064"
}
],
"practiceLocations": [
{
"address_1": "1628 W Beardsley Ave",
"address_purpose": "LOCATION",
"city": "Elkhart",
"state": "IN",
"postal_code": "465141881",
"country_code": "US",
"telephone_number": "574-293-9420",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLLOWELL",
"first_name": "SANDRA",
"middle_name": "JEAN",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-10",
"last_updated": "2018-05-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IN",
"license": "05004055A",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT294593",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Beverly Hills, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.