Active NPI
Whitney Holmes, AT,PTA
- Physical Therapy Assistant
- Dublin, GA
National Provider Identifier
1255633749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- PTA003171
- Practice address
- 101 Fairview Park Drive
Dublin, GA 31021-2501 - Phone
- (478) 272-7494
- Fax
- (478) 272-2616
- NPI assigned
- Dec 3, 2010
- Last updated
- Nov 12, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Athletic Trainer | 2255A2300X | AT001818 | GA | |
| Physical Therapy Assistant | 225200000X | PTA003171 | GA | Primary |
Addresses
Primary practice location
101 Fairview Park Drive
Dublin, GA 31021-2501
Mailing address
1018 Hwy 80
Danville, GA 31017-2068
Phone (478) 290-6213
Other names 1
- Miss Whitney Tanner
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA003171 | GA | MD | Physical Therapy Assistant |
| AT001818 | GA | MD | Athletic Trainer |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bass Physical Therapy and Rehabilitation Center Inc | Past | Accepting new patients | |
| Bass Physical Therapy and Rehabilitation Center, Inc. | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Rehabilitation Clinic/Center
- Swainsboro, GA
- NPI 1942347687
-
- Rehabilitation Clinic/Center
- Dublin, GA
- NPI 1952383093
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1291334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1384214400000",
"number": "1255633749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1018 HWY 80",
"city": "DANVILLE",
"state": "GA",
"postal_code": "310172068",
"telephone_number": "478-290-6213"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "101 FAIRVIEW PARK DRIVE",
"city": "DUBLIN",
"state": "GA",
"postal_code": "310212501",
"telephone_number": "478-272-7494",
"fax_number": "478-272-2616"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "WHITNEY",
"name_prefix": "Mrs.",
"credential": "AT,PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-12-03",
"last_updated": "2013-11-12",
"status": "A"
},
"taxonomies": [
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "GA",
"license": "AT001818",
"primary": false
},
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "GA",
"license": "PTA003171",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITNEY",
"last_name": "TANNER",
"prefix": "MISS",
"credential": "AT",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Dublin, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.