Joan C Hollis, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

03110 Issued in OH

Practice address

103 Alderwood Dr
South Russell, OH 44022-4270

Phone

(440) 289-7966

Fax

(440) 338-6502

NPI assigned

Nov 20, 2007

Last updated

Jul 15, 2008By the provider in NPPES

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

Other names 1

• Mrs. Joan Hollis Winkelman Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Joan C Hollis PT, DSC, LLC

  • Home Health Agency
  • Chagrin Falls, OH
  • NPI 1356137921
  NPD Authorized official

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

{
    "created_epoch": "1195516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1216080000000",
    "number": "1477734259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "103 ALDERWOOD DR",
            "city": "SOUTH RUSSELL",
            "state": "OH",
            "postal_code": "440224270",
            "telephone_number": "440-289-7966",
            "fax_number": "440-338-6502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 ALDERWOOD DR",
            "city": "SOUTH RUSSELL",
            "state": "OH",
            "postal_code": "440224270",
            "telephone_number": "440-289-7966",
            "fax_number": "440-338-6502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIS",
        "first_name": "JOAN",
        "middle_name": "C",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-11-20",
        "last_updated": "2008-07-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "03110",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JOAN",
            "last_name": "WINKELMAN",
            "middle_name": "HOLLIS",
            "prefix": "MRS.",
            "credential": "P.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Kimberly Ann Garren-Hudson, D.O.
• Gary Lee Holtz, D.D.S.
• Alla Kirsch, MD
• Mark N. Rood, MD
• Jonathan Franklin Rosenthal, DDS

• Geriatric Physical Therapist in South Russell, OH
• Providers in South Russell, OH by specialty
• Geriatric Physical Therapist in Ohio

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2008; 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.