Individual provider Active NPI

Holly Michelle Forster Miller

  • Physical Therapist
  • Seattle, WA
National Provider Identifier
1043202625
Registry record updated Apr 27, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00008343 Issued in WA
Practice address
1201 Terry Ave
Seattle, WA 98101-2735
Phone
(206) 223-7528
Fax
(206) 223-7577
NPI assigned
Aug 18, 2005
Last updated
Apr 27, 2015By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 27, 2015

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT00008343 WA Primary

Addresses

Primary practice location

1201 Terry Ave
Seattle, WA 98101-2735

Mailing address

1201 Terry Ave
Seattle, WA 98101-2735
Phone (206) 223-7528

Other identifiers 9

IdentifierTypeStateIssuer
2192FOOtherWAREGENCE BS
650024223OtherWAR/R MED PIERCE CNTY
US7533340OtherWAAETNA PCP PIN VM
9058FOOtherWABLUE SHIELD # VM
069741OtherWAGROUP HEALTH # VM
8936256OtherWACRIME VICTIMS
650025726OtherWAR/R MEDICARE
8342636MedicaidWA
157609OtherWADEPT OF L&I

Other names 1

  • Holly Michelle Forster Professional name

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

Practice roles

OrganizationSpecialtyStatusNew patients
Aberdeen Therapy Works Inc PastSince Jan 1, 2003 Accepting new patients
Aberdeen Therapy Works Past Accepting new patients

Interoperability endpoints

  • Direct secure messaging: holly.forster@direct.vmmc.org

Organizations & group practices 2

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

NPI Registry JSON

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

{
    "created_epoch": "1124323200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1430092800000",
    "number": "1043202625",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012735",
            "telephone_number": "206-223-7528",
            "fax_number": "206-223-7577"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1201 TERRY AVE",
            "city": "SEATTLE",
            "state": "WA",
            "postal_code": "981012735",
            "telephone_number": "206-223-7528",
            "fax_number": "206-223-7577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLER",
        "first_name": "HOLLY",
        "middle_name": "MICHELLE FORSTER",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-08-18",
        "last_updated": "2015-04-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00008343",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "REGENCE BS",
            "identifier": "2192FO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MED PIERCE CNTY",
            "identifier": "650024223",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA PCP PIN  VM",
            "identifier": "US7533340",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE SHIELD #  VM",
            "identifier": "9058FO",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP HEALTH #  VM",
            "identifier": "069741",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CRIME VICTIMS",
            "identifier": "8936256",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "R/R MEDICARE",
            "identifier": "650025726",
            "state": "WA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8342636",
            "state": "WA"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "DEPT OF L&I",
            "identifier": "157609",
            "state": "WA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "FORSTER",
            "middle_name": "MICHELLE",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Seattle, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 27, 2015; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.