Holly Vehawn, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

Practice address

118 Robinwood Dr NW
Fort Walton Beach, FL 32548-4364

Phone

(417) 349-3009

NPI assigned

Jun 28, 2021

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1624838400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625097600000",
    "number": "1144890591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 ROBINWOOD DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484364",
            "telephone_number": "417-349-3009"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 ROBINWOOD DR NW",
            "city": "FORT WALTON BEACH",
            "state": "FL",
            "postal_code": "325484364",
            "telephone_number": "417-349-3009"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "VEHAWN",
        "first_name": "HOLLY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-06-28",
        "last_updated": "2021-07-01",
        "certification_date": "2021-07-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "FL",
            "license": "PTA29344",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Mary Forsyth Vasiloff, AU.D.
• Angela Patricia Vaughn, RBT
• Johanna Gilbert Vazzana, CNM
• Lauren Z Veal, M.S.- CCC/SLP
• Andres Tomas Vega, DO
• Carley Veitch, LPTA
• Zoely Vera, MOT, OTR/L
• Verhi Inc (gulf coast orthotics and prosthetics)
• Verus Healthcare, LLC
• Chelsea Victoria Vonbartheld, PT, DPT

• Physical Therapy Assistant in Fort Walton Beach, FL
• Providers in Fort Walton Beach, FL by specialty
• Physical Therapy Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2021; 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.