Active NPI
Maggie Rose Hoelzeman, PT, DPT
- Physical Therapist
- Russellville, AR
National Provider Identifier
1346786043
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT5082
- Practice address
- 1301 Russell Rd
Russellville, AR 72802-4320 - Phone
- (479) 967-2316
- Fax
- (479) 967-3639
- NPI assigned
- Jan 18, 2017
- Last updated
- Jan 9, 2023
- 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 Therapist | 225100000X | PT5082 | AR | Primary |
Addresses
Primary practice location
1301 Russell Rd
Russellville, AR 72802-4320
Mailing address
PO Drawer 2109
Russellville, AR 72811
Phone (479) 967-2322
Other practice location 1
208 Gina Dr
Morrilton, AR 72110-4726
Phone (501) 215-9520
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 281789721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220701000093 | AR | Practitioner - Physical Therapist in Private Practice | 2769862143 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1484697600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673222400000",
"number": "1346786043",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 2109",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "72811",
"telephone_number": "479-967-2322"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 RUSSELL RD",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "728024320",
"telephone_number": "479-967-2316",
"fax_number": "479-967-3639"
}
],
"practiceLocations": [
{
"address_1": "208 Gina Dr",
"address_purpose": "LOCATION",
"city": "Morrilton",
"state": "AR",
"postal_code": "721104726",
"country_code": "US",
"telephone_number": "501-215-9520",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOELZEMAN",
"first_name": "MAGGIE",
"middle_name": "ROSE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-01-18",
"last_updated": "2023-01-09",
"certification_date": "2023-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "PT5082",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "281789721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Russellville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.