Active NPI
Shani Marie Hollins, MSPT
- Physical Therapist
- Torrington, CT
National Provider Identifier
1659504710
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 007977
- Practice address
- 376 Goshen Rd
Torrington, CT 06790-2722 - Phone
- (860) 618-0416
- Fax
- (860) 618-0417
- NPI assigned
- Aug 24, 2009
- Sex
- Female
- Sole proprietor
- Yes
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 | 007977 | CT | Primary |
Addresses
Primary practice location
376 Goshen Rd
Torrington, CT 06790-2722
Mailing address
376 Goshen Rd
Torrington, CT 06790-2722
Phone (860) 618-0416
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 007977 | CT | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251072000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1251072000000",
"number": "1659504710",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "376 GOSHEN RD",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067902722",
"telephone_number": "860-618-0416",
"fax_number": "860-618-0417"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "376 GOSHEN RD",
"city": "TORRINGTON",
"state": "CT",
"postal_code": "067902722",
"telephone_number": "860-618-0416",
"fax_number": "860-618-0417"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLINS",
"first_name": "SHANI",
"middle_name": "MARIE",
"credential": "MSPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-08-24",
"last_updated": "2009-08-24",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "007977",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Torrington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.