Individual provider Active NPI

Garlyn Elizabeth Hollingshead, M.P.T.

  • Physical Therapist
  • Clovis, CA
National Provider Identifier
1831250232
Registry record updated Sep 19, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
33332 Issued in CA
Practice address
2181 Herndon Ave Ste 102
Clovis, CA 93611-6309
Phone
(559) 573-3430
Fax
(559) 573-3432
NPI assigned
Dec 12, 2006
Sex
Female
Sole proprietor
No

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
33332CAMDGeneral Practice Dentistry

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 33332 CA Primary

Addresses

NPPES NPI Registry

Primary practice location

2181 Herndon Ave Ste 102
Clovis, CA 93611-6309

Mailing address

641 N Fowler Ave
Apt. #103
Clovis, CA 93611-6610
Phone (559) 324-0813

Other practice location 1

2615 E Clinton Ave
Fresno, CA 93703-2223
Phone (559) 225-6100 ext. 5073

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Sep 19, 2018.

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537315200000",
    "number": "1831250232",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "641 N FOWLER AVE",
            "address_2": "APT. #103",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116610",
            "telephone_number": "559-324-0813"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2181 HERNDON AVE STE 102",
            "city": "CLOVIS",
            "state": "CA",
            "postal_code": "936116309",
            "telephone_number": "559-573-3430",
            "fax_number": "559-573-3432"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2615 E Clinton Ave",
            "address_purpose": "LOCATION",
            "city": "Fresno",
            "state": "CA",
            "postal_code": "937032223",
            "country_code": "US",
            "telephone_number": "559-225-6100 x5073",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLINGSHEAD",
        "first_name": "GARLYN",
        "middle_name": "ELIZABETH",
        "credential": "M.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-12",
        "last_updated": "2018-09-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CA",
            "license": "33332",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Clovis, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 19, 2018; 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.