Individual provider Active NPI

Krisha Andrea Holland, DPT

  • Physical Therapist
  • Shreveport, LA
National Provider Identifier
1043903834
Registry record updated May 30, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
10903 Issued in LA
Practice address
670 Albemarle Dr Ste 1100
Shreveport, LA 71106-5947
Phone
(318) 828-1450
NPI assigned
May 30, 2023
Last updated
May 30, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 30, 2023

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 10903 LA Primary

Addresses

Primary practice location

670 Albemarle Dr Ste 1100
Shreveport, LA 71106-5947

Mailing address

2122 Airline Dr Ste 200
Bossier City, LA 71111-3270

Other practice location 1

2122 Airline Dr Ste 200
Bossier City, LA 71111-3270
Phone (318) 828-1450

Other names 1

  • Krisha Andrea Aytona Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in LA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230725003418 LA Practitioner - Physical Therapist in Private Practice 1759742604 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Function First Physical Therapy, LLCGroup PAC ID 2961763768, 10 clinicians

Practice addresses (Care Compare)

670 Albemarle Dr
Suite 1100
Shreveport, LA 71106-5945
Phone (318) 828-1450

Merit-based Incentive Payment System (MIPS)

Final score
80.62 of 100Reported as group
Quality
100
Improvement activities
40
Cost
35.42

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
10903LAMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Function First Physical Therapy, LLC Physical Therapist CurrentSince Jul 1, 2023 Accepting new patients

Locations

2122 Airline Dr
Ste 200
Bossier City, LA 71111
Phone (318) 828-1450

670 Albemarle Dr
Ste 1100
Shreveport, LA 71106
Phone (318) 828-1450

Organizations & group practices 1

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": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685404800000",
    "number": "1043903834",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 AIRLINE DR STE 200",
            "city": "BOSSIER CITY",
            "state": "LA",
            "postal_code": "711113270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "670 ALBEMARLE DR STE 1100",
            "city": "SHREVEPORT",
            "state": "LA",
            "postal_code": "711065947",
            "telephone_number": "318-828-1450"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2122 Airline Dr Ste 200",
            "address_purpose": "LOCATION",
            "city": "Bossier City",
            "state": "LA",
            "postal_code": "711113270",
            "country_code": "US",
            "telephone_number": "318-828-1450",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "KRISHA",
        "middle_name": "ANDREA",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-30",
        "last_updated": "2023-05-30",
        "certification_date": "2023-05-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "LA",
            "license": "10903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KRISHA",
            "last_name": "AYTONA",
            "middle_name": "ANDREA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Shreveport, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 2023; 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.