Individual provider Active NPI

Carol S Hollenbeck, P.T.

  • Geriatric Physical Therapist
  • St Pete Beach, FL
National Provider Identifier
1255420626
Registry record updated Nov 17, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT#0008575 Issued in FL
Practice address
4615 Gulf Blvd Ste 116
St Pete Beach, FL 33706-2454
Phone
(727) 367-0075
Fax
(727) 367-0402
NPI assigned
Oct 12, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 17, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT#0008575 FL Primary

Addresses

Primary practice location

4615 Gulf Blvd Ste 116
St Pete Beach, FL 33706-2454

Mailing address

4615 Gulf Blvd Ste 116
St Pete Beach, FL 33706-2454
Phone (727) 367-0075

Other names 1

  • Carol H Glasscock Former name

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
PT#0008575FLMDGeriatric Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1160611200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1763337600000",
    "number": "1255420626",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4615 GULF BLVD STE 116",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062454",
            "telephone_number": "727-367-0075",
            "fax_number": "727-367-0402"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4615 GULF BLVD STE 116",
            "city": "ST PETE BEACH",
            "state": "FL",
            "postal_code": "337062454",
            "telephone_number": "727-367-0075",
            "fax_number": "727-367-0402"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "CAROL",
        "middle_name": "S",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-12",
        "last_updated": "2025-11-17",
        "certification_date": "2025-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "FL",
            "license": "PT#0008575",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CAROL",
            "last_name": "GLASSCOCK",
            "middle_name": "H",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in St Pete Beach, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2025; 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.