Charles E Hollier, P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

02889R Issued in LA

Practice address

40497 Black Bayou Ext
Suite a
Gonzales, LA 70737

Phone

(225) 644-0390

Fax

(225) 644-8283

NPI assigned

Jan 31, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 1993

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Tri Therapy PLLCGroup PAC ID 3476613225, 4 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Tri Therapy PLLC

  • Physical Therapist
  • Magnolia, MS
  • NPI 1023280468
  Medicare reassignment Care Compare group NPD
• Bayou Tox, LLC

  dba Parish Labs

  • Clinical Medical Laboratory
  • Gonzales, LA
  • NPI 1952869612
  NPD

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

{
    "created_epoch": "1170201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211414400000",
    "number": "1578600169",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40497 BLACK BAYOU EXT",
            "address_2": "SUITE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-644-0390",
            "fax_number": "225-644-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40497 BLACK BAYOU EXT",
            "address_2": "SUITE A",
            "city": "GONZALES",
            "state": "LA",
            "postal_code": "70737",
            "telephone_number": "225-644-0390",
            "fax_number": "225-644-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIER",
        "first_name": "CHARLES",
        "middle_name": "E",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-01-31",
        "last_updated": "2008-05-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "02889R",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TAX ID",
            "identifier": "68 0567729",
            "state": "LA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Sheena Deon Williams Hock, LAC, CCS, SAP
• Isabel Cristina Hodgson, P.T.
• Heather Ann Hofmann
• Triniti Holland
• Hollier Physical Therapy, Inc.
• Heather Marks Hollier, LOTR
• Mackenzie Hollis Marston, OD
• Robert John Holt, PHARMD
• Ashley Hooper
• Courtney Lynn Hope-Bourgeois, PT, DPT

• Physical Therapist in Gonzales, LA
• Providers in Gonzales, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2008; 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.