Active NPI
Holly Michelle Forster Miller
- Physical Therapist
- Seattle, WA
National Provider Identifier
1043202625
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT00008343
- 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, 2015
- 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 | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2192FO | Other | WA | REGENCE BS |
| 650024223 | Other | WA | R/R MED PIERCE CNTY |
| US7533340 | Other | WA | AETNA PCP PIN VM |
| 9058FO | Other | WA | BLUE SHIELD # VM |
| 069741 | Other | WA | GROUP HEALTH # VM |
| 8936256 | Other | WA | CRIME VICTIMS |
| 650025726 | Other | WA | R/R MEDICARE |
| 8342636 | Medicaid | WA | |
| 157609 | Other | WA | DEPT OF L&I |
Other names 1
- Holly Michelle Forster
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aberdeen Therapy Works Inc | Past | Accepting new patients | |
| Aberdeen Therapy Works | Past | Accepting new patients |
Interoperability endpoints
- 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.
-
- Occupational Therapist
- Aberdeen, WA
- NPI 1437570249
-
- Occupational Therapist
- Aberdeen, WA
- NPI 1063544245
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.