Active NPI
Brieanne Margaret Hollingsworth, PTA
- Physical Therapy Assistant
- Savannah, GA
National Provider Identifier
1295390920
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA003355
- Practice address
- 2040 Colonial Dr
Savannah, GA 31406-2296 - Phone
- (912) 354-2752
- Fax
- (912) 352-2038
- NPI assigned
- May 8, 2019
- 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 Therapy Assistant | 225200000X | PTA003355 | GA | Primary |
Addresses
Primary practice location
2040 Colonial Dr
Savannah, GA 31406-2296
Mailing address
222 W 38TH St
Savannah, GA 31401-8802
Phone (912) 665-0557
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | Azalealand.tpm@encorerehabilitation.com | Health Information Exchange (HIE) |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA003355 | GA | MD | Physical Therapy Assistant |
Interoperability endpoints
- azalealand.tpm@encorerehabilitation.com
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557273600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557273600000",
"number": "1295390920",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "222 W 38TH ST",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314018802",
"telephone_number": "912-665-0557"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2040 COLONIAL DR",
"city": "SAVANNAH",
"state": "GA",
"postal_code": "314062296",
"telephone_number": "912-354-2752",
"fax_number": "912-352-2038"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINGSWORTH",
"first_name": "BRIEANNE",
"middle_name": "MARGARET",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-08",
"last_updated": "2019-05-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003355",
"primary": true
}
],
"identifiers": [],
"endpoints": [
{
"endpointType": "DIRECT",
"endpointTypeDescription": "Direct Messaging Address",
"endpoint": "Azalealand.tpm@encorerehabilitation.com",
"affiliation": "N",
"endpointDescription": "Secure Email",
"use": "HIE",
"useDescription": "Health Information Exchange (HIE)",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "2040 Colonial Dr",
"city": "Savannah",
"state": "GA",
"country_code": "US",
"postal_code": "314062296",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}
Other providers in Savannah, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.