Active NPI
Brianne Hollandsworth, PT, DPT
- Physical Therapist
- Kirkwood, MO
National Provider Identifier
1831766716
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2021019126
- Practice address
- 1001 S Kirkwood Rd Ste 150
Kirkwood, MO 63122-7251 - Phone
- (314) 821-7557
- NPI assigned
- Jun 8, 2021
- Reactivated
- Jul 17, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2021019126 | MO | Primary |
Addresses
Primary practice location
1001 S Kirkwood Rd Ste 150
Kirkwood, MO 63122-7251
Mailing address
3523 San Jose LN
Saint Ann, MO 63074-2806
Phone (314) 308-8100
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2021019126 | MO | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Optimize Physical Therapy and Wellness, LLC | Current | 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 and National Provider Directory roles.
-
- Physical Therapy Clinic/Center
- Saint Charles, MO
- NPI 1952184699
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1623110400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721174400000",
"number": "1831766716",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3523 SAN JOSE LN",
"city": "SAINT ANN",
"state": "MO",
"postal_code": "630742806",
"telephone_number": "314-308-8100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1001 S KIRKWOOD RD STE 150",
"city": "KIRKWOOD",
"state": "MO",
"postal_code": "631227251",
"telephone_number": "314-821-7557"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLANDSWORTH",
"first_name": "BRIANNE",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2021-06-08",
"last_updated": "2024-07-17",
"certification_date": "2021-06-08",
"deactivation_date": "2024-06-14",
"reactivation_date": "2024-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MO",
"license": "2021019126",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kirkwood, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.