Active NPI
Alexis Holthues
- Sports Medicine (Emergency Medicine) Physician
- Millersburg, IN
National Provider Identifier
1033041165
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Sports Medicine (Emergency Medicine) Physician
- License
- 36002338A
- Practice address
- PO Box 187
Millersburg, IN 46543-0187 - Phone
- (419) 819-9686
- NPI assigned
- Jun 2, 2026
- Last updated
- Jun 2, 2026
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Sports Medicine (Emergency Medicine) Physician | 207PS0010X | 36002338A | IN | Primary |
Addresses
Primary practice location
PO Box 187
Millersburg, IN 46543-0187
Mailing address
PO Box 187
Millersburg, IN 46543-0187
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 |
|---|---|---|---|
| 36002338A | IN | MD | Sports Medicine (Emergency Medicine) Physician |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1780358400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1780358400000",
"number": "1033041165",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "MILLERSBURG",
"state": "IN",
"postal_code": "465430187"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "PO BOX 187",
"city": "MILLERSBURG",
"state": "IN",
"postal_code": "465430187",
"telephone_number": "419-819-9686"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTHUES",
"first_name": "ALEXIS",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2026-06-02",
"last_updated": "2026-06-02",
"certification_date": "2026-06-02",
"status": "A"
},
"taxonomies": [
{
"code": "207PS0010X",
"taxonomy_group": "",
"desc": "Emergency Medicine, Sports Medicine",
"state": "IN",
"license": "36002338A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Millersburg, IN
- David Lyle Baer, D.D.S.
- Kelsey Marie Edwards, SBD
- Shellie Ann Godina
- Holley Chiropractic, LLC (Community Chiropractic & Wellness Center)
- Eric McAlister, DC
- Middlebury Family Physicians, Inc (Millersburg Family Physicians)
- Millersburg-Clinton Fire Territory
- Springer Dental Care of Millersburg
- Mackenzie Lee Taylor
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.