Louis Hollingsworth

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

160005292 Issued in IL

Practice address

2124 Edison Ave
Granite City, IL 62040-4717

Phone

(636) 856-4192

NPI assigned

Nov 17, 2021

Last updated

Nov 17, 2021By the provider in NPPES

Sex

Male

Sole proprietor

No

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": "1637107200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1637107200000",
    "number": "1477210169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2124 EDISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404717",
            "telephone_number": "636-856-4192"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2124 EDISON AVE",
            "city": "GRANITE CITY",
            "state": "IL",
            "postal_code": "620404717",
            "telephone_number": "636-856-4192"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "LOUIS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-11-17",
        "last_updated": "2021-11-17",
        "certification_date": "2021-11-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "IL",
            "license": "160005292",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Carrie Hilling, LCPC, CADC
• Steven T Hillmer, MS, RD
• Timothy Hipskind
• Miriam Hoffmann, OTR
• Aletha Ann Hogan, L.P.N.
• Tiesha Hooks, CERTIFIED DOULA
• Hope Medical Group Granite PLLC
• Donnetta House, APN
• Jowe Hsieh, MD
• Christina Marie Huckelberry, CCC-SLP

• Physical Therapy Assistant in Granite City, IL
• Providers in Granite City, IL by specialty
• Physical Therapy Assistant in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 17, 2021; 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.