Laura Lynn Holshouser, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT012362 Issued in GA

Practice address

1706 Magnolia Way
Augusta, GA 30909-9481

Phone

(706) 210-7529

Fax

(706) 312-7610

NPI assigned

Jun 25, 2016

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Laura Lynn Kight Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Sports Medicine Associates of Augusta, LLC

  • Orthopaedic Surgery Physician
  • Augusta, GA
  • NPI 1255565503

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1466812800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1554249600000",
    "number": "1104277698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1706 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099481",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1706 MAGNOLIA WAY",
            "city": "AUGUSTA",
            "state": "GA",
            "postal_code": "309099481",
            "telephone_number": "706-210-7529",
            "fax_number": "706-312-7610"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSHOUSER",
        "first_name": "LAURA",
        "middle_name": "LYNN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-06-25",
        "last_updated": "2019-04-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT012362",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003191370A",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LAURA",
            "last_name": "KIGHT",
            "middle_name": "LYNN",
            "credential": "DPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Michael S Holman, MD
• Dorothy Chris Holmes, LMT
• Kathryne Holmes, MD
• Quiana Andrea Holmes
• Sylina Holmes, LCSW
• Daniel Sean Holsonback, CNIM
• Amy Holsten, PH.D.
• Mary-Grace Elizabeth Holt
• Holton Physical Therapy and Performance Coaching, LLC
• Isaac Faxon Holton Jr., D.M.D.

• All providers in Augusta, GA
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2019; 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.