Individual provider Active NPI

Holli Denise Schultz, P.T.

  • Community Health Worker
  • Enid, OK
National Provider Identifier
1275704082
Registry record updated Mar 19, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Community Health WorkerTaxonomy code 172V00000X
License
3547 Issued in OK
Practice address
330 S 5TH St
Ste 501
Enid, OK 73701-5825
Phone
(580) 233-6707
Fax
(580) 233-3724
NPI assigned
Mar 19, 2008
Last updated
Mar 19, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 19, 2008

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Community Health Worker 172V00000X 3547 OK Primary

Addresses

Primary practice location

330 S 5TH St
Ste 501
Enid, OK 73701-5825

Mailing address

330 S 5TH St
Ste 501
Enid, OK 73701-5825
Phone (580) 233-6707

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051108000459 OK Practitioner - Physical Therapist in Private Practice 3274565502 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Northwest Oklahoma Orthopaedic Clinic PCGroup PAC ID 3870584931, 9 clinicians

Practice addresses (Care Compare)

900 W Cherokee Ave
Enid, OK 73701-5410
Phone (580) 233-6707

Merit-based Incentive Payment System (MIPS)

Final score
76.44 of 100Reported as group
Quality
63.57
Improvement activities
40
Cost
70.04

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Northwest Oklahoma Orthopaedic Clinic Inc CurrentSince Sep 1, 2005 Accepting new patients

Locations

330 S 5th St
Ste 501
Enid, OK 73701
Phone (580) 233-6707

900 W Cherokee Ave
Enid, OK 73701
Phone (580) 233-6707

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1205884800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1205884800000",
    "number": "1275704082",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST",
            "address_2": "STE 501",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015825",
            "telephone_number": "580-233-6707",
            "fax_number": "580-233-3724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "330 S 5TH ST",
            "address_2": "STE 501",
            "city": "ENID",
            "state": "OK",
            "postal_code": "737015825",
            "telephone_number": "580-233-6707",
            "fax_number": "580-233-3724"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHULTZ",
        "first_name": "HOLLI",
        "middle_name": "DENISE",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-19",
        "last_updated": "2008-03-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "172V00000X",
            "taxonomy_group": "",
            "desc": "Community Health Worker",
            "state": "OK",
            "license": "3547",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Enid, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2008; 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.

Verify at the official NPI Registry.