Macy Holdsworth
Individual provider Active NPI Physical Therapist · Georgetown, IN
NPI 1033857636 · NPPES record last updated May 24, 2022
Key facts
- NPI
- 1033857636
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 99111040A (IN)
- Practice address
- 1050 Copperfield Dr
Georgetown, IN 47122-9075 - Phone
- (812) 951-1440
- NPI assigned
- May 24, 2022
- Sex
- Male
- Sole proprietor
- No
Organizations & group practices 7
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in IN
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20220729000842 | IN | Practitioner - Physical Therapist in Private Practice | 7911389556 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current |
Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Current | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Past | Accepting new patients | |
| SN Kentuckiana Rehab, LLC | Physical Therapist | Past | Accepting new patients |
Locations
9407 County Road 403
Charlestown, IN 47111
Phone (812) 256-0528
325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231
173 Pacer Dr NW
Corydon, IN 47112
Phone (502) 964-5404
1050 Copperfield Dr
Georgetown, IN 47122
Phone (812) 651-1440
3451 E 10th St
Jeffersonville, IN 47130
Phone (812) 218-8039
3154 E 10TH St
Jeffersonvlle, IN 47130
1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705
3626 Grant Line Rd
Ste 105
New Albany, IN 47150
Phone (502) 558-2903
651 Hamburg Way
Ste 300
Sellersburg, IN 47172
Phone (812) 248-8180
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 99111040A | IN | Yes |
Addresses
Primary practice location
1050 Copperfield Dr
Georgetown, IN 47122-9075
Mailing address
1050 Copperfield Dr
Georgetown, IN 47122-9075
Other providers in Georgetown, IN
- Georgetown Township Fire Protection District
- Ashley Renee Giles
- Anne Grantz
- Harrison County Hospital
- Elizabeth Heiney
- Heather Hopper
- Brandy Rochelle Koons
- Kevin Lannan
- Gregory J. Lee
- Julie Maria Leezer
All providers in Georgetown, IN · Physical Therapist in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 24, 2022. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.