Individual provider Active NPI

Crystal Nicole Hollins-Henderson, DPT

  • Physical Therapist
  • Athens, AL
National Provider Identifier
1811289051
Registry record updated Mar 31, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PTH8275 Issued in AL
Practice address
209 Fitness Way
Suite D
Athens, AL 35611-2451
Phone
(256) 233-9148
Fax
(256) 233-9164
NPI assigned
May 6, 2011
Last updated
Mar 31, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2017

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PTH8275 AL Primary
Physical Therapy Assistant 225200000X 3362 TN
Physical Therapy Assistant 225200000X 2081518 TX

Addresses

Primary practice location

209 Fitness Way
Suite D
Athens, AL 35611-2451

Mailing address

2531 Rocky Ridge Rd
Suite 101
Vestavia, AL 35243-4415
Phone (205) 978-7376

Other names 1

  • Crystal Nicole Hollins Former name

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
PTH8275ALMDPhysical Therapist
3362TNMDPhysical Therapy Assistant
2081518TXMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
HH Health System - the Orthopaedic Center, LLC PastSince Aug 13, 2023 Accepting new patients

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/fca878a1-6c97-4ecb-b6e7-eb5d7cde15ab/

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": "1304640000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1490918400000",
    "number": "1811289051",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2531 ROCKY RIDGE RD",
            "address_2": "SUITE 101",
            "city": "VESTAVIA",
            "state": "AL",
            "postal_code": "352434415",
            "telephone_number": "205-978-7376",
            "fax_number": "205-978-0861"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "209 FITNESS WAY",
            "address_2": "SUITE D",
            "city": "ATHENS",
            "state": "AL",
            "postal_code": "356112451",
            "telephone_number": "256-233-9148",
            "fax_number": "256-233-9164"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLINS-HENDERSON",
        "first_name": "CRYSTAL",
        "middle_name": "NICOLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-05-06",
        "last_updated": "2017-03-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AL",
            "license": "PTH8275",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TN",
            "license": "3362",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2081518",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CRYSTAL",
            "last_name": "HOLLINS",
            "middle_name": "NICOLE",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Athens, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2017; 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.