Whitney Hollowell, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA3882 Issued in AR

Practice address

2210 Main Dr
Springdale, AR 72762-6802

Phone

(479) 856-6397

NPI assigned

Aug 18, 2014

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Kidscorp of Fayetteville, Inc

  • Developmental Disabilities Clinic/Center
  • Springdale, AR
  • NPI 1790124659
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1408320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665619200000",
    "number": "1831598515",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2403 MAIN DR STE 5",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045275",
            "telephone_number": "479-966-4883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2210 MAIN DR",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626802",
            "telephone_number": "479-856-6397"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2317 N Mount Olive St",
            "address_purpose": "LOCATION",
            "city": "Siloam Springs",
            "state": "AR",
            "postal_code": "727617070",
            "country_code": "US",
            "telephone_number": "479-549-4004",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLOWELL",
        "first_name": "WHITNEY",
        "credential": "PTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-08-18",
        "last_updated": "2022-10-13",
        "certification_date": "2022-10-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "PTA3882",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Irene Hollingsworth, MD
• Michael G Hollomon, MD
• Jessica Rae Hollon, LMSW
• Haley Faith Holloway, OTD, OTR/L
• Samuel Ross Holloway
• Ashley Altazin Holman, DDS
• Madison Janelle Holmes, LAC
• John Francis Holt, LCSW
• Rachel Lynn Holt, PT, DPT, ATC
• Catherine Honea

• Physical Therapy Assistant in Springdale, AR
• Providers in Springdale, AR by specialty
• Physical Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2022; 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.