Kimberely Holloway, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

1261798 Issued in TX

Practice address

1211 S Main St Ste 500
Keller, TX 76248-0822

Phone

(312) 882-7386

Fax

(334) 593-8032

NPI assigned

Nov 3, 2016

Sex

Female

Sole proprietor

Yes

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

• Advanced Neuromuscular Performance & Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Keller, TX
  • NPI 1316476609

  Physical Therapist, TX

  Medicare reassignment NPD Authorized official
• Mobile Therapy Now

  • Physical Therapist
  • Keller, TX
  • NPI 1932796935
  NPD

Specialty

Physical Therapist in Private Practice

Education

Other, 2015

Medicare assignment

May accept Medicare assignment

Practice addresses (Care Compare)

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Jul 21, 2022.

{
    "created_epoch": "1478131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1043762289",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1211 S MAIN ST",
            "address_2": "SUITE 500",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "76244",
            "telephone_number": "312-882-7386",
            "fax_number": "334-593-8032"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1211 S MAIN ST STE 500",
            "city": "KELLER",
            "state": "TX",
            "postal_code": "762480822",
            "telephone_number": "312-882-7386",
            "fax_number": "334-593-8032"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "KIMBERELY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-03",
        "last_updated": "2022-07-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1261798",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• James Hoke, RBT
• Gina Rene Holbrook, CST/CSFA
• Lauren Margaux Holland, LPC-A
• Shelby Renee Holland, PA-C
• Kaitlyn McKinley Holley, OTD, OTR/L
• Elizabeth Holman
• Jerry Holubec, D.O.
• Hope and Growth Center PLLC
• Hope Family Healthcare LLC
• Hope Home Care Inc

• All providers in Keller, TX
• Physical Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.