Active NPI
Holly L Froelich, DPT
- Physical Therapist
- Galesburg, IL
National Provider Identifier
1942534094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 070-017218
- Practice address
- 765 N Kellogg St FL 3
Galesburg, IL 61401-2875 - Phone
- (309) 343-3434
- Fax
- (309) 343-3456
- NPI assigned
- Sep 22, 2009
- Last updated
- Apr 20, 2011
- 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 | 070-017218 | IL | Primary |
Addresses
Primary practice location
765 N Kellogg St FL 3
Galesburg, IL 61401-2875
Mailing address
PO Box 5387
Bloomington, IL 61702-5387
Phone (309) 661-8823
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 070-017218 | Other | IL | PHYSICAL THERAPIST LICENSE |
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 |
|---|---|---|---|
| 070-017218 | IL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1303257600000",
"number": "1942534094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 5387",
"city": "BLOOMINGTON",
"state": "IL",
"postal_code": "617025387",
"telephone_number": "309-661-8823",
"fax_number": "309-661-8801"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "765 N KELLOGG ST FL 3",
"city": "GALESBURG",
"state": "IL",
"postal_code": "614012875",
"telephone_number": "309-343-3434",
"fax_number": "309-343-3456"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FROELICH",
"first_name": "HOLLY",
"middle_name": "L",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-09-22",
"last_updated": "2011-04-20",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "IL",
"license": "070-017218",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PHYSICAL THERAPIST LICENSE",
"identifier": "070-017218",
"state": "IL"
}
],
"endpoints": [],
"other_names": []
}Other providers in Galesburg, IL
- Jeanine Fox, MHP
- Frances House Inc
- Fresenius Medical Care Galesburg, LLC (Fresenius Kidney Care Galesburg)
- Brittany Frieden
- Elaine Marie Frink, APN
- Teri Frymire, MHP
- Galesburg Anesthesia Associates, LLC
- Galesburg Anesthesiology, S.C.
- Galesburg Clinic PC
- Galesburg Home Care Corp. (Midwest Regional Hospice)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 20, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.