Active NPI
Holly McDuff
- Physical Therapist
- Gulf Breeze, FL
National Provider Identifier
1164088407
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 25347
- Practice address
- 1590 Woodbluff CT
Gulf Breeze, FL 32563-9593 - Phone
- (850) 476-0628
- Fax
- (850) 475-1313
- NPI assigned
- May 13, 2019
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 25347 | FL | Primary |
Addresses
Primary practice location
1590 Woodbluff CT
Gulf Breeze, FL 32563-9593
Mailing address
1590 Woodbluff CT
Gulf Breeze, FL 32563-9593
Phone (803) 743-7000
Other names 1
- Miss Holly Palmer
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 25347 | FL | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1557705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557705600000",
"number": "1164088407",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1590 WOODBLUFF CT",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325639593",
"telephone_number": "803-743-7000"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1590 WOODBLUFF CT",
"city": "GULF BREEZE",
"state": "FL",
"postal_code": "325639593",
"telephone_number": "850-476-0628",
"fax_number": "850-475-1313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCDUFF",
"first_name": "HOLLY",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-05-13",
"last_updated": "2019-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "FL",
"license": "25347",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "PALMER",
"prefix": "MISS",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Gulf Breeze, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 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.