Individual provider Active NPI

Annalisa Martinez Hollingsworth, LPT

  • Physical Therapist
  • Harlingen, TX
National Provider Identifier
1619096831
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1068013 Issued in TX
Practice address
5505 South Expressway 77 83
Ste 303
Harlingen, TX 78550
Phone
(956) 425-9425
Fax
(956) 425-7339
NPI assigned
Mar 28, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 1068013 TX Primary

Addresses

Primary practice location

5505 South Expressway 77 83
Ste 303
Harlingen, TX 78550

Mailing address

5505 South Expressway 77 83
Ste 303
Harlingen, TX 78550
Phone (956) 425-9425

Other identifiers 1

IdentifierTypeStateIssuer
1068013OtherTXLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20110825000080 TX Practitioner - Physical Therapist in Private Practice 2860662020 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1068013TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
T & V Miles, Inc. Physical Therapist CurrentSince Apr 1, 2019 Accepting new patients
Bliss W Clark MD PA Past Accepting new patients
Stephanie H Garcia Mdpa PastSince Jul 1, 2025 Accepting new patients
T&V Miles Inc. PastSince Apr 1, 2019 Accepting new patients

Locations

1090 E Alton Gloor Blvd
Brownsville, TX 78526
Phone (956) 465-1091

1714 Boca Chica Blvd
Brownsville, TX 78520
Phone (956) 544-2041

Interoperability endpoints

  • FHIR API: https://fhir4.healow.com/fhir/r4/HCAGBA

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1175040000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1619096831",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5505 SOUTH EXPRESSWAY 77 83",
            "address_2": "STE 303",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-425-9425",
            "fax_number": "956-425-7339"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5505 SOUTH EXPRESSWAY 77 83",
            "address_2": "STE 303",
            "city": "HARLINGEN",
            "state": "TX",
            "postal_code": "78550",
            "telephone_number": "956-425-9425",
            "fax_number": "956-425-7339"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINGSWORTH",
        "first_name": "ANNALISA",
        "middle_name": "MARTINEZ",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1068013",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE #",
            "identifier": "1068013",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harlingen, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.