Brooke Ann Hollingsworth

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4884 Issued in AR

Practice address

1800 SE Moberly LN Ste 6
Bentonville, AR 72712-7017

Phone

(479) 715-6330

Fax

(479) 268-5144

NPI assigned

Sep 4, 2020

Last updated

Apr 15, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Interoperability endpoints

• Direct secure messaging: brooke.hollingsworth.1@18403.direct.athenahealth.com

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.

• Powell Orthopedics, PA

  • Orthopaedic Surgery Physician
  • Fayetteville, AR
  • NPI 1598095069
  NPD (past)

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

{
    "created_epoch": "1599177600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1618444800000",
    "number": "1255945473",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE MOBERLY LN STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127017",
            "telephone_number": "479-715-6330",
            "fax_number": "479-268-5144"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE MOBERLY LN STE 6",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127017",
            "telephone_number": "479-715-6330",
            "fax_number": "479-268-5144"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "BROOKE",
        "middle_name": "ANN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-09-04",
        "last_updated": "2021-04-15",
        "certification_date": "2021-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "TX",
            "license": "1338031",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT4884",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "sadams@powellorthosports.com",
            "affiliation": "N",
            "address_1": "3900 N Parkview Dr Ste 202",
            "city": "Fayetteville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727036398",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Rebekah Jordan Holiman
• Eden Holland
• Ashley Holley, MHPP
• Kaleb J Holliman
• Lauren C Holliman
• Joyce Ann Hollis, CNM
• Thomas M Holman, DDS
• Jaime Marie Holthaus, APRN
• Home Medical, Inc (Children's Home Medical)
• Evelyn Kristena Honey, OTR/L

• Physical Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2021; 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.