The Holloway Rehabilitation and Pain Center Inc

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT0001638 Issued in FL

Legal business name

THE HOLLOWAY REHABILITATION AND PAIN CENTER INC

Practice address

12245 SW 112TH St
Miami, FL 33186-4830

Phone

(305) 598-9696

Fax

(305) 598-4479

NPI assigned

Apr 22, 2008

Organization subpart

No

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

Authorized official

Name

Ms. Vanessa Holloway

Title

Manager

Phone

(305) 598-9696

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Aaron Holloway

  • Specialist
  • Miami, FL
  • NPI 1235297581
  NPD (past)

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

{
    "created_epoch": "1208822400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1344470400000",
    "number": "1043484900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "12245 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864830",
            "telephone_number": "305-598-9696",
            "fax_number": "305-598-4479"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "12245 SW 112TH ST",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "331864830",
            "telephone_number": "305-598-9696",
            "fax_number": "305-598-4479"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE HOLLOWAY REHABILITATION AND PAIN CENTER INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-22",
        "last_updated": "2012-08-09",
        "status": "A",
        "authorized_official_last_name": "HOLLOWAY",
        "authorized_official_first_name": "VANESSA",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "305-598-9696",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT0001638",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "891154100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Physical Therapist in Miami, FL
• Providers in Miami, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2012; 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.