Devin Clay Holladay, PT, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT015090 Issued in GA

Practice address

2463 Hamilton Mill Pkwy Ste 250
Dacula, GA 30019-4647

Phone

(770) 932-9521

Fax

(770) 932-9523

NPI assigned

Aug 2, 2020

Sex

Male

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

Enrolled in VA, GA, TN, CA4 enrollments

Enrollment records 4

Specialty

Physical Therapist in Private Practice

Education

Other, 2020

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Rehab Specialists IncGroup PAC ID 7810071958, 25 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Rehab Specialists, Inc

  • Physical Therapist
  • Beverly Hills, CA
  • NPI 1487717153
  Medicare reassignment Care Compare group NPD
• Independent Physical Therapy of Georgia, LLC

  • Physical Therapist
  • Fort Oglethorpe, GA
  • NPI 1780636068
  Medicare reassignment NPD
• Drayer Physical Therapy Virginia, LLC

  • Physical Therapist
  • Charlottesville, VA
  • NPI 1649742016
  Medicare reassignment NPD
• Drayer PT of VA LLC

  • Physical Therapist
  • Harrisonburg, VA
  • NPI 1831514637
  Medicare reassignment NPD
• Independent Physical Therapy, LLC

  • Physical Therapist
  • Chattanooga, TN
  • NPI 1104878354
  Medicare reassignment NPD
• Independent Physical Therapy of Georgia, LLC

  • Occupational Therapist
  • Gainesville, GA
  • NPI 1306013941

  Physical Therapist

  NPD
• Adi Rehab, Incorporated

  • Physical Therapist
  • Los Angeles, CA
  • NPI 1104850197
  NPD
• Serc Rebabilitation Partners, LLC

  • Physical Therapist
  • Overland Park, KS
  • NPI 1598190209
  NPD
• Serc Rehabilitation Partners, LLC

  • Physical Therapist
  • Belton, MO
  • NPI 1760745244
  NPD
• Drayer Physical Therapy Virginia, LLC

  • Physical Therapist
  • Stafford, VA
  • NPI 1457947707
  NPD (past)

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

{
    "created_epoch": "1596326400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1083224331",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 CORPORATE DR STE 400",
            "city": "HOOVER",
            "state": "AL",
            "postal_code": "352425424",
            "telephone_number": "423-238-7217",
            "fax_number": "423-238-3473"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2463 HAMILTON MILL PKWY STE 250",
            "city": "DACULA",
            "state": "GA",
            "postal_code": "300194647",
            "telephone_number": "770-932-9521",
            "fax_number": "770-932-9523"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2603 W Pleasant Grove Rd Ste 104",
            "address_purpose": "LOCATION",
            "city": "Rogers",
            "state": "AR",
            "postal_code": "727588514",
            "country_code": "US",
            "telephone_number": "479-636-1187",
            "fax_number": "479-636-1197",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "140 Shen Elk Plz",
            "address_purpose": "LOCATION",
            "city": "Elkton",
            "state": "VA",
            "postal_code": "228271165",
            "country_code": "US",
            "telephone_number": "540-298-4749",
            "fax_number": "540-298-4570",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLADAY",
        "first_name": "DEVIN",
        "middle_name": "CLAY",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-08-02",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "CP0044907",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VA",
            "license": "2305213582",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT015090",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hillstrand Physical Therapy LLC
• Kimberly L. Hiott
• Baokhanh N. Ho
• Brittni Hodge
• Holistic Therapy LLC
• Elizabeth Anne Honsberger, RN
• Hope Partners, LLC
• Maryanne Horne, PH.D.
• Lindsay Hoskins
• House of ABA Supports, LLC

• Physical Therapist in Dacula, GA
• Providers in Dacula, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.