Active NPI
Holly Faunce, DPT
- Physical Therapist
- Saint Augustine, FL
National Provider Identifier
1013456441
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT32330
- Practice address
- 105 Mariner Health Way
Suite 213
Saint Augustine, FL 32086-3251 - Phone
- (904) 217-4259
- Fax
- (904) 217-4251
- NPI assigned
- Feb 17, 2017
- 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 | PT32330 | FL | Primary |
Addresses
Primary practice location
105 Mariner Health Way
Suite 213
Saint Augustine, FL 32086-3251
Mailing address
105 Mariner Health Way
Suite 213
Saint Augustine, FL 32086-3251
Phone (904) 217-4259
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| P01864495 | Other | RAILROAD MEDICARE |
Other names 1
- Holly Harding
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT32330 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1487289600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1520208000000",
"number": "1013456441",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "105 MARINER HEALTH WAY",
"address_2": "SUITE 213",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320863251",
"telephone_number": "904-217-4259",
"fax_number": "904-217-4251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "105 MARINER HEALTH WAY",
"address_2": "SUITE 213",
"city": "SAINT AUGUSTINE",
"state": "FL",
"postal_code": "320863251",
"telephone_number": "904-217-4259",
"fax_number": "904-217-4251"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FAUNCE",
"first_name": "HOLLY",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-02-17",
"last_updated": "2018-03-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "PT32330",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE",
"identifier": "P01864495",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "HARDING",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Saint Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 5, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.