Stephanie Hollander, MA, AT, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2601000903 Issued in MI

Practice address

261 Mack Ave
Detroit, MI 48201-2417

Phone

(313) 745-1100

NPI assigned

Aug 14, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

Credentials

Master of Arts

State licenses

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

{
    "created_epoch": "1565740800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1316593452",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "29732 FALL RIVER RD",
            "city": "SOUTHFIELD",
            "state": "MI",
            "postal_code": "480761846",
            "telephone_number": "248-227-9226"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "261 MACK AVE",
            "city": "DETROIT",
            "state": "MI",
            "postal_code": "482012417",
            "telephone_number": "313-745-1100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANDER",
        "first_name": "STEPHANIE",
        "credential": "MA, AT, ATC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-14",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "MI",
            "license": "2601000903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "https://www.rimrehab.org/",
            "affiliation": "N",
            "address_1": "261 Mack Ave",
            "city": "Detroit",
            "state": "MI",
            "country_code": "US",
            "postal_code": "482012417",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Holistic Wellness Services
• Megan Holladay, PA-C
• Diane G. Holland, M.D.
• Priscella Holland
• Rakyra Holland
• Rhonda Hollaway
• Andrew Nicholas Hollenbeck, M.D.
• Oshnique Holley, LPN
• Sheryl Holley
• Tiffani Holley

• Athletic Trainer in Detroit, MI
• Providers in Detroit, MI by specialty
• Athletic Trainer in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 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.

Verify at the official NPI Registry.