Hollis Walsdorf Fousse, PTA
NPI 1720611031ActiveIndividual· Physical Therapy Assistant· Lake Charles, LA
Physical Therapy Assistant (PTA) in Lake Charles, Louisiana, licensed in LA and AZ, with an NPI issued in February 2020.
Overview
| NPI | 1720611031 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | PTA |
| Sole proprietor | No |
| NPI issued | Feb 14, 2020 |
| Last updated in NPPES | Feb 14, 2020 |
| Certified by provider | Feb 14, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapy Assistant Primary | 225200000X | A7726 | LA |
| Physical Therapy Assistant | 225200000X | PTA-010009 | AZ |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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