Holly Lickwala, P.T.
NPI 1699912295 · Physical Therapist · Centralia, WA
Enrolled with Medicare as Practitioner - Physical Therapist in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holly Lickwala, P.T. is a Physical Therapist provider in Centralia, WA (NPI 1699912295).
Provider details
- NPI number
- 1699912295
- Entity type
- Individual
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Credential
- P.T.
- Sex
- Female
- Sole proprietor
- No
- License
- 6214 (AZ)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Additional practice locations (1)
- 1817 S Market Blvd Ste CChehalis, WA 98532-4100Phone: (360) 996-4410Fax: (360) 996-4466
Registry dates
- Enumerated
- 2009-01-19
- Last updated
- 2020-08-21
- Certified
- 2020-08-21
Frequently asked questions
- What is Holly Lickwala's NPI number?
- Holly Lickwala's National Provider Identifier (NPI) is 1699912295, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What is Holly Lickwala's specialty?
- Holly Lickwala is listed in the NPPES registry with a primary specialty of Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Holly Lickwala located?
- Holly Lickwala's practice location on file with NPPES is 1118 View Ave, Centralia, WA 98531-1870.
- What is Holly Lickwala's phone number?
- The practice phone number listed in the NPPES registry for Holly Lickwala is (360) 736-8273.
- Does Holly Lickwala accept Medicare?
- Holly Lickwala is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Is Holly Lickwala's NPI active?
- Yes — Holly Lickwala's NPI (1699912295) is active in the NPPES registry as of the last update on 2020-08-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.