Individual provider Active NPI

Tricia Daniel-Hollies, PT

  • Pediatric Physical Therapist
  • Houston, TX
National Provider Identifier
1801124532
Registry record updated Nov 18, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Physical TherapistTaxonomy code 2251P0200X
License
1166820 Issued in TX
Practice address
12570 Clay Rd
Houston, TX 77041-5593
Phone
(713) 983-0075
Fax
(281) 858-5345
NPI assigned
Nov 18, 2009
Last updated
Nov 18, 2009By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 18, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X 1166820 TX Primary

Addresses

Primary practice location

12570 Clay Rd
Houston, TX 77041-5593

Mailing address

13819 Coushatta CT
Cypress, TX 77429-4096
Phone (504) 319-0611

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
1166820TXMDPediatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Special Cheers Past 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, 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": "1258502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1258502400000",
    "number": "1801124532",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13819 COUSHATTA CT",
            "city": "CYPRESS",
            "state": "TX",
            "postal_code": "774294096",
            "telephone_number": "504-319-0611",
            "fax_number": "281-858-5345"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12570 CLAY RD",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770415593",
            "telephone_number": "713-983-0075",
            "fax_number": "281-858-5345"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DANIEL-HOLLIES",
        "first_name": "TRICIA",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-11-18",
        "last_updated": "2009-11-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "TX",
            "license": "1166820",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 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.

Verify at the official NPI Registry.