Kenyata B Holton, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT016871 Issued in GA

Practice address

1157B West Ave SW
Conyers, GA 30012-5280

Phone

(770) 922-2420

NPI assigned

Sep 11, 2023

Sex

Female

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

Enrolled in GA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Human Performance and Rehabilitation Centers, LLC

  • Physical Therapist
  • Columbus, GA
  • NPI 1104415983
  Medicare reassignment NPD
• Human Performance and Rehabilitation Centers LLC

  • Durable Medical Equipment & Medical Supplies
  • Columbus, GA
  • NPI 1891583654
  NPD
• Human Performance and Rehabilitation Centers, LLC

  • Physical Therapy Clinic/Center
  • Auburn, AL
  • NPI 1720677503

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1694390400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1694390400000",
    "number": "1003693474",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8068",
            "city": "COLUMBUS",
            "state": "GA",
            "postal_code": "319088068",
            "telephone_number": "706-322-7762"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1157B WEST AVE SW",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300125280",
            "telephone_number": "770-922-2420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTON",
        "first_name": "KENYATA",
        "middle_name": "B",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-11",
        "last_updated": "2023-09-11",
        "certification_date": "2023-09-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT016871",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Maxine S Hodges
• Geraldo Enrique Holguin Terrero, MD
• Holistic Counseling and Wellness Center LLC
• Holistic Health Management, LLC
• Kenika Holloway
• Brenda Kay Holzer, CFM
• Daniel T. Holzer, CP, LP
• Home Guard Private Home Care LLC
• Home of the Heroes
• Honey Creek Dental

• Physical Therapist in Conyers, GA
• Providers in Conyers, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.