Individual provider Active NPI

Ricky Allen Hollie, PTA

  • Physical Therapy Assistant
  • Danville, VA
National Provider Identifier
1679395271
Registry record updated Oct 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
2306001480 Issued in VA
Practice address
101 Holbrook St
Danville, VA 24541-1759
Phone
(434) 799-2382
NPI assigned
Oct 26, 2024
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 26, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 225200000X 2306001480 VA Primary

Addresses

Primary practice location

101 Holbrook St
Danville, VA 24541-1759

Mailing address

101 Holbrook St Ste 202
Danville, VA 24541-1759
Phone (434) 799-2382

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

LicenseStateTypeSpecialty
2306001480VAMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Virginia in-Home Partner-III, LLC PastSince Oct 27, 2024 Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1729900800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729900800000",
    "number": "1679395271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 HOLBROOK ST STE 202",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411759",
            "telephone_number": "434-799-2382"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 HOLBROOK ST",
            "city": "DANVILLE",
            "state": "VA",
            "postal_code": "245411759",
            "telephone_number": "434-799-2382"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIE",
        "first_name": "RICKY",
        "middle_name": "ALLEN",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-10-26",
        "last_updated": "2024-10-26",
        "certification_date": "2024-10-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "2306001480",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Danville, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.