Kimberly Hollie

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT002856E Issued in PA

Practice address

300 W King St
Littlestown, PA 17340-1446

Phone

(717) 359-4078

Fax

(717) 345-8233

NPI assigned

Aug 28, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

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.

• PHS Physical Therapy, LLC

  • Physical Therapist
  • Camp Hill, PA
  • NPI 1912300096
  Medicare reassignment NPD
• PHS Physical Therapy, LLC

  • Rehabilitation Clinic/Center
  • Hanover, PA
  • NPI 1558979328
  NPD

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

{
    "created_epoch": "1156723200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1669580841",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20 UNION ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173409197",
            "telephone_number": "717-359-8037"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "300 W KING ST",
            "city": "LITTLESTOWN",
            "state": "PA",
            "postal_code": "173401446",
            "telephone_number": "717-359-4078",
            "fax_number": "717-345-8233"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3 Village Sq",
            "address_purpose": "LOCATION",
            "city": "Westminster",
            "state": "MD",
            "postal_code": "211576145",
            "country_code": "US",
            "telephone_number": "410-876-1505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIE",
        "first_name": "KIMBERLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-28",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT002856E",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE#",
            "identifier": "17469",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Todd Joseph Goldberg, DPM
• Hanover Health Corporation, Inc.
• Shannon Suellen Harley, LMT
• Deborah Renee Hess, COTA/L
• Hoffman Homes Inc.
• Holly Hynson, O.D.
• Ashley Elizabeth Johnson, DPT
• Kanagasabapathy Arumugarajah, M.D.
• Kennies Market Inc
• Sally J Kuhns, OTR/L

• Physical Therapist in Littlestown, PA
• Providers in Littlestown, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; 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.