Terra Jayne Holderman, PT, DPT
Individual provider Active NPI Orthopedic Physical Therapist · Mechanicsville, VA
NPI 1124630157 · NPPES record last updated Oct 19, 2020
Key facts
- NPI
- 1124630157
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Orthopedic Physical Therapist 2251X0800X
- License
- 2305213668 (VA)
- Practice address
- 8200 Meadowbridge Rd Ste 100
Mechanicsville, VA 23116-2337 - Phone
- (804) 559-7467
- NPI assigned
- Aug 20, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 2305213668 | VA | Yes |
Addresses
Primary practice location
8200 Meadowbridge Rd Ste 100
Mechanicsville, VA 23116-2337
Mailing address
1115 Boulders Pkwy
Ste 200
North Chesterfield, VA 23225-4067
Phone (804) 915-4607
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2305213668 | Other | VA | VIRGINIA DEPARTMENT OF HEALTH PROFESSIONS |
Other providers in Mechanicsville, VA
- Arlene W Hodges
- Shanna Rae Hodges
- Madison Hoecker
- Alice A Hoegel
- Brian Kendall Holdaway
- Matthew Holland
- Nicole Holler-Blackmon
- Janine Holley
- Timothy Daniel Holley
- Tanika Holmes-Stringer
All providers in Mechanicsville, VA · Orthopedic Physical Therapist in Virginia
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 19, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.