Organization Active NPI

Holly Chiropractic & Sports Rehab LLC

  • Chiropractor
  • Sterling, CO
National Provider Identifier
1164078978
Registry record updated Aug 9, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
Legal business name
HOLLY CHIROPRACTIC & SPORTS REHAB LLC
Practice address
207 Ash St
Sterling, CO 80751-4225
Phone
(970) 522-3500
Fax
(970) 522-3509
NPI assigned
Aug 16, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 9, 2024

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

Authorized official

Name
Dr. Sheri Ann Hernandez, D.C.NPI 1457576936
Title
Owner
Phone
(970) 522-3500

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X Primary

Addresses

Primary practice location

207 Ash St
Sterling, CO 80751-4225

Mailing address

207 Ash St
Sterling, CO 80751-4225
Phone (970) 522-3500

Other names 1

  • Holly Chiropractic & Sports Rehab Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191015001447 CO Part B Supplier - Clinic/Group Practice 0143551648 Receives reassigned benefits from 1 practitioner
Practice locations: Sterling, CO

National Provider Directory

National Provider Directory

Locations

207 Ash St
Sterling, CO 80751
Phone (970) 522-3500

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1565913600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723161600000",
    "number": "1164078978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 ASH ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514225",
            "telephone_number": "970-522-3500",
            "fax_number": "970-522-3509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 ASH ST",
            "city": "STERLING",
            "state": "CO",
            "postal_code": "807514225",
            "telephone_number": "970-522-3500",
            "fax_number": "970-522-3509"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLY CHIROPRACTIC & SPORTS REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-08-16",
        "last_updated": "2024-08-09",
        "certification_date": "2024-08-09",
        "status": "A",
        "authorized_official_last_name": "HERNANDEZ",
        "authorized_official_first_name": "SHERI",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "970-522-3500",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holly Chiropractic & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Holly Chiropractic & Sports Rehab",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Sterling, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.