Holly Marie Acosta, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

PTA-008771 Issued in AZ

Practice address

7550 N 16TH St
Phoenix, AZ 85020-4618

Phone

(602) 371-4165

Fax

(602) 281-2499

NPI assigned

Oct 9, 2020

Last updated

Oct 9, 2020By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

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": "1602201600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1602201600000",
    "number": "1194323311",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7550 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204618"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7550 N 16TH ST",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "850204618",
            "telephone_number": "602-371-4165",
            "fax_number": "602-281-2499"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "16640 N Sarival Rd",
            "address_purpose": "LOCATION",
            "city": "Surprise",
            "state": "AZ",
            "postal_code": "853882202",
            "country_code": "US",
            "telephone_number": "623-900-1077",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "ACOSTA",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "name_prefix": "Mrs.",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-09",
        "last_updated": "2020-10-09",
        "certification_date": "2020-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AZ",
            "license": "PTA-008771",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Acorn USA Inc (Sunwest LTC Pharmacy)
• Andrea Acosta
• Daisy Ruby Acosta
• Esther S Acosta, PH.D., NCSP
• Geni A Acosta, RD
• Jessica Lynn Acosta, NP
• Juan M. Acosta, MD
• Karen Acosta
• Karla Acosta
• Larissa Acosta

• Physical Therapy Assistant in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapy Assistant in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2020; 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.