Kathern Sue Hollifield, R.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

00364R Issued in LA

Practice address

309 S. Washington St.
Beauregard Physical Therapy Clinic Inc
Deridder, LA 70634

Phone

(337) 462-6097

NPI assigned

Aug 6, 2009

Last updated

Aug 6, 2009By the provider in NPPES

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

Other names 1

• K. Hollifield Professional name

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Beauregard Physical Therapy Clinic, Inc

  • Physical Therapist
  • Deridder, LA
  • NPI 1003080367
  NPD (past)

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

{
    "created_epoch": "1249516800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249516800000",
    "number": "1982835013",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "275 O. SIMMONS RD",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "337-462-0964",
            "fax_number": "337-462-0171"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "309 S. WASHINGTON ST.",
            "address_2": "BEAUREGARD PHYSICAL THERAPY CLINIC INC",
            "city": "DERIDDER",
            "state": "LA",
            "postal_code": "70634",
            "telephone_number": "337-462-6097"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIFIELD",
        "first_name": "KATHERN",
        "middle_name": "SUE",
        "name_prefix": "Ms.",
        "credential": "R.P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2009-08-06",
        "last_updated": "2009-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "00364R",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "K.",
            "last_name": "HOLLIFIELD",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Russell Warren Hearne, PT,DPT
• Casady James Hennigan, PT, DPT
• James Thomas Hennigan, Jr, RPH, PHARM D
• Henry S Carter, MD LLC
• Christine Hoffpauir, NP
• Kallie Holt, NP
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Family Medicine Center)
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Women's Health Center)
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Internal Medicine Center)
• Hospital Service District No 2 of Parish of Beauregard State of la (Beauregard Memorial Hospital)

• Physical Therapist in Deridder, LA
• Providers in Deridder, LA by specialty
• Physical Therapist in Louisiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2009; 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.