Holly Escobar, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

1107780 Issued in NY

Practice address

345 W Valley Stream Blvd
Valley Stream, NY 11580-5313

Phone

(347) 403-2100

NPI assigned

Apr 1, 2022

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1648771200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648771200000",
    "number": "1336889666",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "345 W VALLEY STREAM BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805313",
            "telephone_number": "347-403-2100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "345 W VALLEY STREAM BLVD",
            "city": "VALLEY STREAM",
            "state": "NY",
            "postal_code": "115805313",
            "telephone_number": "347-403-2100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ESCOBAR",
        "first_name": "HOLLY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-04-01",
        "last_updated": "2022-04-01",
        "certification_date": "2022-04-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NY",
            "license": "1107780",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Envision Psychiatric Nurse Practitioner PLLC
• Eric Scott Lippman MD PC
• Errol Gindi DPM PC
• Errol Gindi DPM PC
• Daniel Alejandro Escobar, MD
• Katie Anne Eslinger
• Jazmine Esteves, LPN
• Montana Taylor Estevez Aquino, LMSW
• Dominga Estevez-Pena, LMSW
• Omar Estevez

• Physical Therapy Assistant in Valley Stream, NY
• Providers in Valley Stream, NY by specialty
• Physical Therapy Assistant in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2022; 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.