Jesse Holliday, P.T.A.

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

8200 Good Luck Rd
Lanham, MD 20706-3511

Phone

(301) 552-2000

NPI assigned

Jul 22, 2015

Sex

Male

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1437523200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1437523200000",
    "number": "1003291808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5121 LACKAWANNA ST",
            "city": "COLLEGE PARK",
            "state": "MD",
            "postal_code": "207404530",
            "telephone_number": "864-607-1615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8200 GOOD LUCK RD",
            "city": "LANHAM",
            "state": "MD",
            "postal_code": "207063511",
            "telephone_number": "301-552-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "JESSE",
        "credential": "P.T.A.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-07-22",
        "last_updated": "2015-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Sharon Gacho Hobson, LCSW-C
• Claudette M Hockenberry, PA-C
• Amy Holden, LCSW
• Holistic U Wellness LLC
• Anne Marie Holland, P.T.
• Alexis Shanice Holman
• Paulita Holmes
• Tara L Holmes
• Mary Holsinger
• Holystic Health Services LLC

• Physical Therapy Assistant in Lanham, MD
• Providers in Lanham, MD by specialty
• Physical Therapy Assistant in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2015; 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.