Individual provider Active NPI

Sandra Jean Hollowell, MSPT

  • Physical Therapist
  • Beverly Hills, CA
National Provider Identifier
1124178686
Registry record updated May 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT294593 Issued in CA
Practice address
435 N Bedford Dr Ste 102
Beverly Hills, CA 90210-4319
Phone
(310) 385-9064
NPI assigned
Jan 10, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on May 24, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
PT294593CAMDPhysical Therapist
05004055AINMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew 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 and National Provider Directory roles.

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.

Verify at the official NPI Registry.