Individual provider Active NPI

Holly Kreisle

  • Physical Therapist
  • Bethesda, MD
National Provider Identifier
1114037850
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
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, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
21196OtherMDLICENSE #

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20090430000463 DC Practitioner - Physical Therapist in Private Practice 0749365310 Reassigns benefits to 2 organizations

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
Washington Orthopaedics and Sports Medicine, P.a.Group PAC ID 9739163668, 21 clinicians
District Orthopaedics, PCGroup PAC ID 4880198704, 10 clinicians

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

OrganizationSpecialtyStatusNew patients
Washington Orthopaedics and Sports Medicine, P.a. CurrentSince Jan 5, 2009 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Aug 1, 2025 Accepting new patients
Washington Orthopaedics and Sports Medicine, P.a. CurrentSince Jan 5, 2009 Accepting new patients
Bethesda Chevy Chase Orthopaedic Associates, LLC CurrentSince Aug 1, 2025 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.

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.

Verify at the official NPI Registry.