Individual provider Active NPI

Erin H. Holmes, P.T.

  • Physical Medicine & Rehabilitation Physician
  • Lake Placid, FL
National Provider Identifier
1083679815
Registry record updated Oct 22, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X
License
PT19801 Issued in FL
Practice address
104 S Main Ave
Lake Placid, FL 33852-1808
Phone
(863) 699-6929
NPI assigned
Apr 17, 2006
Last updated
Oct 22, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Medicine & Rehabilitation Physician 208100000X PT19801 FL Primary

Addresses

Primary practice location

104 S Main Ave
Lake Placid, FL 33852-1808

Mailing address

104 S Main Ave
Lake Placid, FL 33852-1808
Phone (863) 699-6929

Other identifiers 1

IdentifierTypeStateIssuer
Y909EOtherFLBLUE CROSS BLUE SHIELD

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090518000402 FL Practitioner - Physical Therapist in Private Practice 8224187497 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2001
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Lake Placid Rehabilitation IncGroup PAC ID 4981909652, 2 clinicians

Practice addresses (Care Compare)

145 Tower St
Lake Placid, FL 33852-6836
Phone (863) 465-9991

Merit-based Incentive Payment System (MIPS)

Final score
91.54 of 100Reported as group
Quality
96.26
Improvement activities
40
Cost
76.78

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT19801FLMDPhysical Medicine & Rehabilitation Physician
19801FLMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Lake Placid Rehabilitation Inc Physical Medicine & Rehabilitation CurrentSince Feb 1, 2021 Accepting new patients
Rehab Consultants of West Central Florida Inc PastSince Dec 14, 2000 Accepting new patients
RJB Cardiac & Physical Rehabilitation, Inc. Past Accepting new patients
RJB Cardiac & Physical Rehabilitation Inc. Past Accepting new patients

Locations

145 Tower St
Lake Placid, FL 33852
Phone (863) 465-9991

Organizations & group practices 4

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": "1145232000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1193011200000",
    "number": "1083679815",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "104 S MAIN AVE",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338521808",
            "telephone_number": "863-699-6929"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 S MAIN AVE",
            "city": "LAKE PLACID",
            "state": "FL",
            "postal_code": "338521808",
            "telephone_number": "863-699-6929"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ERIN",
        "middle_name": "H.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-17",
        "last_updated": "2007-10-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "FL",
            "license": "PT19801",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "Y909E",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Lake Placid, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2007; 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.