Ijunanya Holder, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

028416 Issued in NY

Practice address

2 Sherman Potts Dr
Suite 202
Ghent, NY 12075-3216

Phone

(518) 965-6099

NPI assigned

Apr 19, 2007

Last updated

Nov 11, 2014By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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)

Enrolled

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Flex Care, LLC

  dba Flex Rehab

  • Physical Therapy Clinic/Center
  • Ghent, NY
  • NPI 1669898284
  Authorized official Same address or phone
• Hudson Care Physical Therapy PLLC

  • Physical Therapy Clinic/Center
  • Ghent, NY
  • NPI 1881920874
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1415664000000",
    "number": "1225255789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2 SHERMAN POTTS DR",
            "address_2": "SUITE 202",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753216",
            "telephone_number": "518-965-6099"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2 SHERMAN POTTS DR",
            "address_2": "SUITE 202",
            "city": "GHENT",
            "state": "NY",
            "postal_code": "120753216",
            "telephone_number": "518-965-6099"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "IJUNANYA",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-04-19",
        "last_updated": "2014-11-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "028416",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Galr Operating, LLC (Ghent Assisted Living)
• Green Manor Dialysis Center LLC (DBA Columbia-Greene Dialysis Centers)
• GRNC Operating LLC (Ghent Rehabilitation & Nursing Center)
• Lynn Marie Hart, MS, RDN, CDN
• Heart of Space LCSW PLLC
• Hudson Care Physical Therapy PLLC
• Hudson Care Therapy Care L.L.C.
• Hudson Valley Care Centers, Inc
• Kathleen Keegan-Keller
• David Kowalczik, PTA

• Physical Therapist in Ghent, NY
• Providers in Ghent, NY by specialty
• Physical Therapist in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 11, 2014; 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.