Active NPI
Heather Vonholtum
- Physical Therapist
- The Villages, FL
National Provider Identifier
1003427683
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 35910
- Practice address
- 1050 Old Camp Rd Ste 282
The Villages, FL 32162-1762 - Phone
- (352) 693-3378
- NPI assigned
- Aug 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 35910 | FL | Primary |
Addresses
Primary practice location
1050 Old Camp Rd Ste 282
The Villages, FL 32162-1762
Mailing address
110 Heather Oaks Cir
Lady Lake, FL 32159-8302
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 35910 | FL | MD | Physical Therapist |
Networks
- Optimum HealthCare HMO Network
- Freedom Health HMO Network
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1597536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1600387200000",
"number": "1003427683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "110 HEATHER OAKS CIR",
"city": "LADY LAKE",
"state": "FL",
"postal_code": "321598302"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1050 OLD CAMP RD STE 282",
"city": "THE VILLAGES",
"state": "FL",
"postal_code": "321621762",
"telephone_number": "352-693-3378"
}
],
"practiceLocations": [],
"basic": {
"last_name": "VONHOLTUM",
"first_name": "HEATHER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-16",
"last_updated": "2020-09-18",
"certification_date": "2020-09-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "35910",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in The Villages, FL
- Alexandra Vlad
- VMG Pulmonary & Sleep Disorder Center PA
- VMG Urgent Care PA
- Sonia Siso Vockell, LCSW
- George Edwin Vonhilsheimer IV, M.D.
- Vpi Villages Inc (Vision Protection Institute The Villages)
- Krista Wagner, LMHC
- Wal-Mart Stores East LP (Walmart Pharmacy 10-4262)
- Wal-Mart Stores East, LP
- Wal-Mart Stores East, LP (Walmart Pharmacy 10-4565)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 18, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.