MEDICARE: HOLLISTER PHYSICAL THERAPY, INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	261QP2000X	Physical Therapy Clinic/Center	PT213640	CA

General Provider Information

NPI Number	:	1295905321
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HOLLISTER PHYSICAL THERAPY, INC

Provider Business Mailing Address
First Line	:	6775 DUNNVILLE WAY
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-9241
Country	:	US
Telephone Number	:	831-636-3392
Fax Number	:	831-636-3393

Provider Business Practice Location Address
First Line	:	321 SAN FELIPE RD STE 16
Second Line	:
City	:	HOLLISTER
State	:	CA
Zip	:	95023-3035
Country	:	US
Telephone Number	:	831-636-3392
Fax Number	:	831-636-3393

Authorized Official
Title or Position	:	OWNER/PHYSICAL THERAPIST
Name	:	MRS. ANNA MARIE LEWELLEN
Credential	:	MPT
Telephone Number	:	831-636-3392

Provider Enumeration Date	:	03/04/2008
Last Update Date	:	02/23/2016

Similar Medicare Providers

1790841146 — MRS. ANNA MARIE LEWELLEN MPT
Practice Location Address:

321 SAN FELIPE RD , STE 16
HOLLISTER, CA
95023-3035

Practice Phone: 831-636-3392
Practice Fax: 833-163-6339

1992968713 — KATIE TOBISKA
Practice Location Address:

321 SAN FELIPE RD STE 14
HOLLISTER, CA
95023-3035

Practice Phone: 831-245-8968
Practice Fax:

1720219025 — SYLVIA MARIA CHAVARRIA
Practice Location Address:

321 SAN FELIPE RD STE 12
HOLLISTER, CA
95023-3035

Practice Phone: 669-347-4271
Practice Fax:

1386914802 — MD MEDICAL SUPPLIES AND UNIFORMS
Practice Location Address:

321 SAN FELIPE RD STE 9
HOLLISTER, CA
95023-3035

Practice Phone: 831-801-4172
Practice Fax:

1184996712 — MARIA DE AVILA
Practice Location Address:

321 SAN FELIPE RD STE 9
HOLLISTER, CA
95023-3035

Practice Phone: 831-630-9002
Practice Fax:

1053901769 — AIDA FITZGERALD
Practice Location Address:

321 SAN FELIPE RD STE 12
HOLLISTER, CA
95023-3035

Practice Phone: 669-347-4314
Practice Fax:

Directions to “HOLLISTER PHYSICAL THERAPY, INC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2026 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.