Individual provider Active NPI

Hollie Waskom, DPT

  • Physical Therapist
  • Franklinton, LA
National Provider Identifier
1487484358
Registry record updated Aug 6, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
11824 Issued in LA
Practice address
46105 Highway 10
Franklinton, LA 70438-5813
Phone
(985) 322-2086
NPI assigned
Aug 6, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 6, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 11824 LA Primary

Addresses

Primary practice location

46105 Highway 10
Franklinton, LA 70438-5813

Mailing address

46105 Highway 10
Franklinton, LA 70438-5813

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240814002676 LA Practitioner - Physical Therapist in Private Practice 1052859683 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Schultz Physical Therapy of BogalusaGroup PAC ID 1850611583, 5 clinicians

Practice addresses (Care Compare)

46105 Hwy 10
Franklinton, LA 70438-5813
Phone (985) 732-1651

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
11824LAMDClinical Social Worker

Practice roles

OrganizationSpecialtyStatusNew patients
Schultz Physical Therapy of Bogalusa Physical Therapist CurrentSince Aug 13, 2024 Accepting new patients

Locations

414 Avenue B
Bogalusa, LA 70427
Phone (985) 732-1651

46105 Highway 10
Franklinton, LA 70438
Phone (985) 322-2086

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1722902400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1722902400000",
    "number": "1487484358",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46105 HIGHWAY 10",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704385813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46105 HIGHWAY 10",
            "city": "FRANKLINTON",
            "state": "LA",
            "postal_code": "704385813",
            "telephone_number": "985-322-2086"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WASKOM",
        "first_name": "HOLLIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-08-06",
        "last_updated": "2024-08-06",
        "certification_date": "2024-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "11824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Franklinton, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; 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.