Active NPI
Virjeana Holbrook
- Physical Therapy Assistant
- Elkhorn City, KY
National Provider Identifier
1093318875
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A02438
- Practice address
- 945 W Russell St
Elkhorn City, KY 41522-9032 - Phone
- (606) 754-4134
- NPI assigned
- Nov 16, 2020
- Last updated
- Nov 16, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A02438 | KY | Primary |
Addresses
Primary practice location
945 W Russell St
Elkhorn City, KY 41522-9032
Mailing address
92 Old 119 Loop
Jenkins, KY 41537-8808
Phone (276) 639-6495
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A02438 | KY | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1605484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1605484800000",
"number": "1093318875",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "92 OLD 119 LOOP",
"city": "JENKINS",
"state": "KY",
"postal_code": "415378808",
"telephone_number": "276-639-6495"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "945 W RUSSELL ST",
"city": "ELKHORN CITY",
"state": "KY",
"postal_code": "415229032",
"telephone_number": "606-754-4134"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "VIRJEANA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-11-16",
"last_updated": "2020-11-16",
"certification_date": "2020-11-16",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A02438",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Elkhorn City, KY
- Cathy Nichols Francisco, RPH
- Kermit Donald Gibson, DO
- Amanda Elizabeth Griffith
- Samuel P Hamilton
- Alexandra Hill, LCSW
- Jenkins Community Hospital Dba Jenkins Community Hospital
- James David Justice, DMD
- Kentucky Medical Investors, LLC (Mountain View Health Care)
- Landmark of Elkhorn City Rehabilitation and Nursing Center
- Emily Madison Lester
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.