Active NPI
Hollie Dimare
- Physical Therapist
- Wyoming, PA
National Provider Identifier
1285022376
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT018894
- Practice address
- 170 2ND St
Wyoming, PA 18644-2115 - Phone
- (570) 814-6442
- NPI assigned
- Dec 26, 2014
- Sex
- Female
- Sole proprietor
- No
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 | PT018894 | PA | Primary |
Addresses
Primary practice location
170 2ND St
Wyoming, PA 18644-2115
Mailing address
170 2ND St
Wyoming, PA 18644-2115
Phone (570) 814-6442
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT018894 | Other | PA | PHYSICAL THERAPIST |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1419552000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1419552000000",
"number": "1285022376",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "170 2ND ST",
"city": "WYOMING",
"state": "PA",
"postal_code": "186442115",
"telephone_number": "570-814-6442"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "170 2ND ST",
"city": "WYOMING",
"state": "PA",
"postal_code": "186442115",
"telephone_number": "570-814-6442"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DIMARE",
"first_name": "HOLLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-12-26",
"last_updated": "2014-12-26",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT018894",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST",
"identifier": "PT018894",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wyoming, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 26, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.