Keri LC Hollenbeck, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00007477 Issued in WA

Practice address

12900 NE 180TH St
#110
Bothell, WA 98011-5773

Phone

(425) 483-4270

Fax

(425) 483-4268

NPI assigned

May 23, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kor PT, LLC

  • Physical Therapy Clinic/Center
  • Bellevue, WA
  • NPI 1851252837
  NPD Authorized official
• Physiotherapy Associates, Inc

  • Physical Therapy Clinic/Center
  • Olympia, WA
  • NPI 1689319154
  NPD (past)

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

{
    "created_epoch": "1179878400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1751932800000",
    "number": "1295945376",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST",
            "address_2": "#110",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-483-4270",
            "fax_number": "425-483-4268"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12900 NE 180TH ST",
            "address_2": "#110",
            "city": "BOTHELL",
            "state": "WA",
            "postal_code": "980115773",
            "telephone_number": "425-483-4270",
            "fax_number": "425-483-4268"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBECK",
        "first_name": "KERI",
        "middle_name": "LC",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-05-23",
        "last_updated": "2025-07-08",
        "certification_date": "2025-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "00007477",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8418170",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Patricia Holcomb, SLP-CCC
• Jacqueline W Holder
• Holistic Approach LLC
• Mallory Hope Holladay, LMP
• Allegra Hollenbeck, LMFT
• Anne Hollenhorst, CCC-SLP
• Rosemary Holm-Mitchell, CDPT
• Teresa Rhay Holmberg, BS, AAC
• Martha Lee Holschen, FNTP, RWS3
• Brenda M Holzknecht, L.M.P.

• Physical Therapist in Bothell, WA
• Providers in Bothell, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2025; 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.