Michael G Hollenberg, M.S.P.T., CERT M.D.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT00007057 Issued in WA

Practice address

716 E Edison Ave
Sunnyside, WA 98944-2204

Phone

(509) 837-4455

Fax

(509) 837-6299

NPI assigned

Mar 9, 2006

Last updated

Jun 25, 2008By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1996

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Complete Therapy Services, PLLCGroup PAC ID 8820986649, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

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

• Complete Therapy Services, PLLC

  • Physical Therapist
  • Sunnyside, WA
  • NPI 1225175474
  Medicare reassignment Care Compare group
• Summit Physical Therapy, Inc.

  • Physical Therapist
  • Kennewick, WA
  • NPI 1831191832
  NPD (past)
• Westside Physical Therapy and Sports Medicine Inc PS

  • Physical Therapist
  • Yakima, WA
  • NPI 1821080987
  NPD (past)
• Peak Physical Therapy P C

  • Physical Therapist
  • Boise, ID
  • NPI 1073551560
  NPD (past)

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

{
    "created_epoch": "1141862400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1214352000000",
    "number": "1407824915",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "716 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442204",
            "telephone_number": "509-837-4455",
            "fax_number": "509-837-6299"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "716 E EDISON AVE",
            "city": "SUNNYSIDE",
            "state": "WA",
            "postal_code": "989442204",
            "telephone_number": "509-837-4455",
            "fax_number": "509-837-6299"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLENBERG",
        "first_name": "MICHAEL",
        "middle_name": "G",
        "name_prefix": "Mr.",
        "credential": "M.S.P.T., CERT M.D.T",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2006-03-09",
        "last_updated": "2008-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00007057",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7106917",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Micah L Heeringa, MPT
• Justin Wayne Heiden, D.D,S.
• Sara Herrera
• Tiffanie Ann Hester, L.M.P.
• David Alan Hicks, RPH
• Howard's Medical LLC
• Howards Medical Tri Cities LLC (Howards Medical Supply)
• Hugh Shiels MD PS
• Victor Kenneth Hunt
• Olivia Hutchinson, RD

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.