Hollister Physical Therapy, Inc

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

PT213640 Issued in CA

Legal business name

HOLLISTER PHYSICAL THERAPY, INC

Practice address

321 San Felipe Rd Ste 16
Hollister, CA 95023-3035

Phone

(831) 636-3392

Fax

(831) 636-3393

NPI assigned

Mar 4, 2008

Organization subpart

No

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

Authorized official

Name

Mrs. Anna Marie Lewellen, MPT

Title

Owner/Physical Therapist

Phone

(831) 636-3392

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1204588800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1456185600000",
    "number": "1295905321",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6775 DUNNVILLE WAY",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950239241",
            "telephone_number": "831-636-3392",
            "fax_number": "831-636-3393"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "321 SAN FELIPE RD STE 16",
            "city": "HOLLISTER",
            "state": "CA",
            "postal_code": "950233035",
            "telephone_number": "831-636-3392",
            "fax_number": "831-636-3393"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLLISTER PHYSICAL THERAPY, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-03-04",
        "last_updated": "2016-02-23",
        "status": "A",
        "authorized_official_last_name": "LEWELLEN",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "OWNER/PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "831-636-3392",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "CA",
            "license": "PT213640",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Doreen Patricia Smith Hill
• Kimberly Marie Hill, MSN, FNP
• Hollister Cardiac Rehabilitation Center
• Hollister Emergency Physicians, a Medical Corporation
• Hollister Pediatrics
• Hollister School District
• Hollister Taxi
• Steve M Homen, RNFA
• Kathy Howard
• Vincent Matthew Howard

• Physical Therapy Clinic/Center in Hollister, CA
• Providers in Hollister, CA by specialty
• Physical Therapy Clinic/Center in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 23, 2016; 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.