Active NPI
Virginia Susan Holman, MPT
- Physical Therapist
- Woodburn, OR
National Provider Identifier
1245274158
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 3455
- Practice address
- 1359 N Pacific Hwy
Woodburn, OR 97071 - Phone
- (503) 982-0232
- Fax
- (503) 873-6113
- NPI assigned
- Jun 15, 2006
- 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 | 3455 | OR | Primary |
Addresses
Primary practice location
1359 N Pacific Hwy
Woodburn, OR 97071
Mailing address
495 State St FL 6
Salem, OR 97301-3757
Other names 1
- Ginger Susan Holman
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in OR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
8995 SW Miley Rd
Suite 109
Wilsonville, OR 97070-5485
Phone (503) 694-8366
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 3455 | OR | MD | Chiropractor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sanders Hand Therapy, Inc | Current | Accepting new patients | |
| Capitol Physical & Hand Therapy II | Physical Therapist | Past | Accepting new patients |
| Capitol Physical & Hand Therapy II | Physical Therapist | Past | Accepting new patients |
Locations
25030 SW Parkway Ave
Ste 104
Wilsonville, OR 97070
Phone (503) 694-8366
8995 SW Miley Rd
Ste 109
Wilsonville, OR 97070
Phone (503) 694-8134
2217 Country Club Rd
Woodburn, OR 97071
Phone (503) 318-3927
Organizations & group practices 3
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Hand Occupational Therapist
- Woodburn, OR
- NPI 1164700837
-
- Physical Therapist
- Silverton, OR
- NPI 1144437674
-
- Physical Therapist
- Woodburn, OR
- NPI 1215130752
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1150329600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1529020800000",
"number": "1245274158",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "495 STATE ST FL 6",
"city": "SALEM",
"state": "OR",
"postal_code": "973013757"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1359 N PACIFIC HWY",
"city": "WOODBURN",
"state": "OR",
"postal_code": "97071",
"telephone_number": "503-982-0232",
"fax_number": "503-873-6113"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMAN",
"first_name": "VIRGINIA",
"middle_name": "SUSAN",
"credential": "MPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-15",
"last_updated": "2018-06-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "3455",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "GINGER",
"last_name": "HOLMAN",
"middle_name": "SUSAN",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Woodburn, OR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.