Holly Frances Grise, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

CP021356A Issued in VA

Practice address

803 S Main St
Woodstock, VA 22664-1125

Phone

(540) 459-5676

NPI assigned

May 1, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

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": "1682899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682985600000",
    "number": "1184313710",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1440 S 59TH ST",
            "city": "WEST ALLIS",
            "state": "WI",
            "postal_code": "532145121",
            "telephone_number": "320-241-7887"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 S MAIN ST",
            "city": "WOODSTOCK",
            "state": "VA",
            "postal_code": "226641125",
            "telephone_number": "540-459-5676"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRISE",
        "first_name": "HOLLY",
        "middle_name": "FRANCES",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-05-01",
        "last_updated": "2023-05-02",
        "certification_date": "2023-05-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "MN",
            "license": "A2661",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WI",
            "license": "3253",
            "primary": false
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "VA",
            "license": "CP021356A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Angela Marie Goebel, FNP
• Stephanie Gosnell
• Carly Shaye Grady, PT, DPT
• Katherine Angela Grey, M.S., SLP-CF
• Kathryn Grisdale
• Peter G Gross, LCSW
• Kimberly Haines
• Eugenia A Haire, PHARMD
• Irene M Hardesty, LMSW
• David Harding

• Physical Therapy Assistant in Woodstock, VA
• Providers in Woodstock, VA by specialty
• Physical Therapy Assistant in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 2, 2023; 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.