Active NPI
Holly Kreisle
- Physical Therapist
- Bethesda, MD
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- Practice address
- 3 Bethesda Metro Ctr
Suite B-001
Bethesda, MD 20814-5330 - Phone
- (301) 986-9252
- NPI assigned
- Aug 30, 2006
- Last updated
- Dec 11, 2008
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 21196 | MD | |
| Physical Therapist | 225100000X | Primary |
Addresses
Primary practice location
3 Bethesda Metro Ctr
Suite B-001
Bethesda, MD 20814-5330
Mailing address
5454 Wisconsin Ave
Suite 1555
Chevy Chase, MD 20815
Phone (301) 951-8593
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 21196 | Other | MD | LICENSE # |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2000
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2021 K St NW
Suite 610
Washington, DC 20006-1058
Phone (301) 657-1996
5454 Wisconsin Ave
Sports Performance and Therapy Suite 1540
Chevy Chase, MD 20815-6954
Phone (301) 882-2000
5454 Wisconsin Ave
Suite 1000
Chevy Chase, MD 20815-6949
Phone (301) 882-2000
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Washington Orthopaedics and Sports Medicine, P.a. | Current | Accepting new patients | |
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients | |
| Washington Orthopaedics and Sports Medicine, P.a. | Current | Accepting new patients | |
| Bethesda Chevy Chase Orthopaedic Associates, LLC | Current | Accepting new patients | |
| Gulf Breeze Physical Therapy Inc. | Physical Therapist | Past | Accepting new patients |
Locations
2021 K St NW
Ste 516
Washington, DC 20006
Phone (301) 657-1996
2021 K St NW
Ste 610
Washington, DC 20006
Phone (240) 395-1522
10215 Fernwood Rd
Ste 506
Bethesda, MD 20817
Phone (240) 482-2414
5454 Wisconsin Ave
Ste 1555
Chevy Chase, MD 20815
Phone (301) 657-1996
5550 Friendship Blvd
Ste 360
Chevy Chase, MD 20815
Phone (240) 241-0420
Organizations & group practices 6
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.
-
- Sports Medicine (Orthopaedic Surgery) Physician
- Chevy Chase, MD
- NPI 1780628131
DC
-
dba District Orthopaedics
- Orthopaedic Surgery Physician
- Chevy Chase, MD
- NPI 1295626364
DC
-
dba Jordan-Young Institute
- Orthopaedic Surgery Physician
- Bethesda, MD
- NPI 1477583599
-
dba OrthoBethesda
- Durable Medical Equipment & Medical Supplies
- Bethesda, MD
- NPI 1851759898
-
- Orthopaedic Surgery Physician
- Washington, DC
- NPI 1275292203
-
dba Select Physical Therapy
- Physical Therapy Clinic/Center
- Pensacola, FL
- NPI 1730183153
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1156896000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1228953600000",
"number": "1114037850",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5454 WISCONSIN AVE",
"address_2": "SUITE 1555",
"city": "CHEVY CHASE",
"state": "MD",
"postal_code": "20815",
"telephone_number": "301-951-8593",
"fax_number": "301-951-8598"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3 BETHESDA METRO CTR",
"address_2": "SUITE B-001",
"city": "BETHESDA",
"state": "MD",
"postal_code": "208145330",
"telephone_number": "301-986-9252"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KREISLE",
"first_name": "HOLLY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-30",
"last_updated": "2008-12-11",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MD",
"license": "21196",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE #",
"identifier": "21196",
"state": "MD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bethesda, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.