Individual provider Active NPI

Hollie Janine Walusz, MA, ATC, LAT, PES

  • Athletic Trainer
  • Downingtown, PA
National Provider Identifier
1518988856
Registry record updated Feb 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
Practice address
1426 Marshallton Thorndale Rd
Downingtown, PA 19335-3673
Phone
(757) 206-4152
NPI assigned
Jul 22, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 29, 2012

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X PA Primary

Addresses

Primary practice location

1426 Marshallton Thorndale Rd
Downingtown, PA 19335-3673

Mailing address

2708 Stockley LN
Downingtown, PA 19335-6018
Phone (757) 206-4152

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
Credentials
Master of Arts

NPI Registry JSON

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

{
    "created_epoch": "1153526400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1330473600000",
    "number": "1518988856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2708 STOCKLEY LN",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193356018",
            "telephone_number": "757-206-4152"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1426 MARSHALLTON THORNDALE RD",
            "city": "DOWNINGTOWN",
            "state": "PA",
            "postal_code": "193353673",
            "telephone_number": "757-206-4152"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WALUSZ",
        "first_name": "HOLLIE",
        "middle_name": "JANINE",
        "name_prefix": "Miss",
        "credential": "MA, ATC, LAT, PES",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-07-22",
        "last_updated": "2012-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "PA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Downingtown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 29, 2012; 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.