Active NPI
Charles Scott Hollander, DPT
- Physical Therapist
- Tacoma, WA
National Provider Identifier
1730474461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT601976627
- Practice address
- 1720 E 67TH St
Tacoma, WA 98404-4223 - Phone
- (253) 474-3563
- NPI assigned
- Jun 10, 2011
- Last updated
- Jan 4, 2012
- Sex
- Male
- Sole proprietor
- No
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 | PT601976627 | WA | Primary |
Addresses
Primary practice location
1720 E 67TH St
Tacoma, WA 98404-4223
Mailing address
2016 Clairmont Cir SW
Olympia, WA 98512-5518
Phone (360) 305-4957
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 |
|---|---|---|---|
| PT601976627 | WA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1307664000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1325635200000",
"number": "1730474461",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2016 CLAIRMONT CIR SW",
"city": "OLYMPIA",
"state": "WA",
"postal_code": "985125518",
"telephone_number": "360-305-4957"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 E 67TH ST",
"city": "TACOMA",
"state": "WA",
"postal_code": "984044223",
"telephone_number": "253-474-3563"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDER",
"first_name": "CHARLES",
"middle_name": "SCOTT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-06-10",
"last_updated": "2012-01-04",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "WA",
"license": "PT601976627",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tacoma, WA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.