Active NPI
Crystal Nicole Hollins-Henderson, DPT
- Physical Therapist
- Athens, AL
National Provider Identifier
1811289051
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH8275
- 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, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
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
| License | State | Type | Specialty |
|---|---|---|---|
| PTH8275 | AL | MD | Physical Therapist |
| 3362 | TN | MD | Physical Therapy Assistant |
| 2081518 | TX | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| HH Health System - the Orthopaedic Center, LLC | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
dba The Orthopaedic Center
- Orthopaedic Surgery Physician
- Huntsville, AL
- NPI 1376220822
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.