Active NPI
Holly Hinesley, MS, PT
- Physical Therapist
- Colorado Springs, CO
National Provider Identifier
1568864247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5379
- Practice address
- 1901 N Union Blvd Ste 100
Colorado Springs, CO 80909-7200 - Phone
- (719) 522-1080
- Fax
- (719) 522-0661
- NPI assigned
- Sep 24, 2014
- Last updated
- Sep 24, 2014
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5379 | CO | Primary |
Addresses
Primary practice location
1901 N Union Blvd Ste 100
Colorado Springs, CO 80909-7200
Mailing address
1901 N Union Blvd Ste 100
Colorado Springs, CO 80909-7200
Phone (719) 522-1080
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)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5379 | CO | MD | Massage Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Interim Healthcare | Past | Accepting new patients | |
| Specialty Therapy Services Inc | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Home Health Agency
- Colorado Springs, CO
- NPI 1033567235
-
dba Interim Rehabilitation Services
- Physical Therapist
- Colorado Springs, CO
- NPI 1750408951
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411516800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1411516800000",
"number": "1568864247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1901 N UNION BLVD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809097200",
"telephone_number": "719-522-1080",
"fax_number": "719-522-0661"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1901 N UNION BLVD STE 100",
"city": "COLORADO SPRINGS",
"state": "CO",
"postal_code": "809097200",
"telephone_number": "719-522-1080",
"fax_number": "719-522-0661"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HINESLEY",
"first_name": "HOLLY",
"credential": "MS, PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-24",
"last_updated": "2014-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CO",
"license": "5379",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Colorado Springs, CO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.