Elisabeth Geralyn Holdsworth, PTA, COTA/L

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PA3647 Issued in ME

Practice address

895 Portland Road
Saco, ME 04072

Phone

(207) 439-5104

Fax

(207) 571-8134

NPI assigned

Mar 22, 2011

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1300752000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1302825600000",
    "number": "1073812665",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "895 PORTLAND ROAD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-439-5104",
            "fax_number": "207-571-8134"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "895 PORTLAND ROAD",
            "city": "SACO",
            "state": "ME",
            "postal_code": "04072",
            "telephone_number": "207-439-5104",
            "fax_number": "207-571-8134"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDSWORTH",
        "first_name": "ELISABETH",
        "middle_name": "GERALYN",
        "name_prefix": "Ms.",
        "credential": "PTA, COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-22",
        "last_updated": "2011-04-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "ME",
            "license": "PA3647",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "ME",
            "license": "0A2499",
            "primary": false
        },
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "ME",
            "license": "PA3647",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kristel M Hill, LMSW-CC
• Erin T Hinkel, M.S., LCPC, LMHC
• Jennifer D Hodgkins, LCSW
• Dwayne Hogan, LCSW
• Kelli Holben, PTA
• Holistic Residential Care LLC
• Jeffrey J Holmstrom, D.O.
• Patricia Holt, GNP
• Steven R Holt, LCSW
• Jun Skyler Hong, DMD

• Physical Therapy Assistant in Saco, ME
• Providers in Saco, ME by specialty
• Physical Therapy Assistant in Maine

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; 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.