Holly Johnson, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT 2762 Issued in MS

Practice address

2268 Ross Rd
Olive Branch, MS 38654-9406

Phone

(662) 808-2680

Fax

(662) 895-0566

NPI assigned

Oct 25, 2010

Last updated

Jul 12, 2023By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in TN, MS2 enrollments

Enrollment records 2

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Fox Rehab Agency Ms LLC

  • Physical Therapist
  • Starkville, MS
  • NPI 1336839000
  Medicare reassignment NPD
• Fox Rehabilitation Services TN LLC

  • Physical Therapist
  • Spring Hill, TN
  • NPI 1710406491
  Medicare reassignment NPD
• Johnsons Therapy Group LLC

  • Physical Therapist
  • Olive Branch, MS
  • NPI 1871290510
  NPD Authorized official

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

{
    "created_epoch": "1287964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689120000000",
    "number": "1083914097",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2268 ROSS RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549406",
            "telephone_number": "662-808-2680",
            "fax_number": "662-895-0566"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2268 ROSS RD",
            "city": "OLIVE BRANCH",
            "state": "MS",
            "postal_code": "386549406",
            "telephone_number": "662-808-2680",
            "fax_number": "662-895-0566"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOHNSON",
        "first_name": "HOLLY",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-10-25",
        "last_updated": "2023-07-12",
        "certification_date": "2023-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT 2762",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "9189701",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kamren Alese Joe, DDS
• Stephen W. Joe, D.M.D.
• John Will Lifestyle Companions LLC
• David Johnson
• Elysica L Johnson, PHARMD
• Katharine Johnson, LPC
• Johnsons Therapy Group LLC
• Audra K Jones, FNP
• Chad Allen Jones, D.N.P.
• Kizmet Lashon Jones, MSN, APRN, FNP-BC

• Physical Therapist in Olive Branch, MS
• Providers in Olive Branch, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.