Active NPI
Jessica Hollis, MPT
- Physical Therapist
- Laguna Niguel, CA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 26742
- Practice address
- 19 High BLF
Laguna Niguel, CA 92677-4259 - Phone
- (949) 466-9506
- NPI assigned
- Feb 16, 2016
- Last updated
- Feb 16, 2016
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 26742 | CA | Primary |
Addresses
Primary practice location
19 High BLF
Laguna Niguel, CA 92677-4259
Mailing address
19 High BLF
Laguna Niguel, CA 92677-4259
Phone (949) 466-9506
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CA
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2001
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
27762 Forbes Rd
Laguna Niguel, CA 92677-1203
Phone (749) 676-0197
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| New Life Physical Therapy Services, PC | Physical Therapist | Current | Accepting new patients |
| California Luna Care Physical Therapy PC | Physical Therapist | Current | Accepting new patients |
| New Life Healthcare, LLC | Past | Accepting new patients | |
| JM Physical Therapy Inc | Physical Therapist | Past | Accepting new patients |
| Trellis Physical Therapy a Professional Rehab Group Inc. | Physical Therapist | Past | Accepting new patients |
Locations
17122 Beach Blvd
Ste 101
Huntington Beach, CA 92647
Phone (714) 848-7191
5321 La Palma Ave
La Palma, CA 90623
27762 Forbes Rd
Laguna Niguel, CA 92677
Phone (749) 676-0197
16185 Los Gatos Blvd
Ste 205
Los Gatos, CA 95032
Phone (408) 409-4167
26151 Country Club Dr
Mission Viejo, CA 92691
Phone (949) 203-0009
12515 Springhurst Dr
San Diego, CA 92128
Phone (858) 771-3694
12291 Newport Ave
Santa Ana, CA 92705
Phone (714) 544-5959
Organizations & group practices 5
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.
-
- Physical Therapist
- Beverly Hills, CA
- NPI 1285160788
-
- Physical Therapist
- Los Gatos, CA
- NPI 1689162166
-
- Physical Therapist
- Laguna Niguel, CA
- NPI 1558658336
-
- Physical Therapist
- Los Angeles, CA
- NPI 1730245838
-
- Physical Therapy Clinic/Center
- Greenville, SC
- NPI 1275598039
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455580800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1455580800000",
"number": "1205295433",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 HIGH BLF",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926774259",
"telephone_number": "949-466-9506"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "19 HIGH BLF",
"city": "LAGUNA NIGUEL",
"state": "CA",
"postal_code": "926774259",
"telephone_number": "949-466-9506"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIS",
"first_name": "JESSICA",
"name_prefix": "Mrs.",
"credential": "MPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-02-16",
"last_updated": "2016-02-16",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "26742",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Laguna Niguel, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.