Active NPI
Holly Margaret Williams, PT, DPT
- Pediatric Physical Therapist
- Papillion, NE
National Provider Identifier
1275912586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- 3361
- Practice address
- 701 Olson Dr Ste 108
Papillion, NE 68046-4797 - Phone
- (402) 212-4876
- NPI assigned
- May 20, 2015
- 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 |
|---|---|---|---|---|
| Pediatric Physical Therapist | 2251P0200X | 3361 | NE | Primary |
Addresses
Primary practice location
701 Olson Dr Ste 108
Papillion, NE 68046-4797
Mailing address
7414 Legacy St
Papillion, NE 68046-4244
Phone (402) 212-4876
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 10025611000 | Medicaid | NE |
Other names 1
- Holly Margaret Walts
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 |
|---|---|---|---|
| 3361 | NE | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pediatric Therapy Center | Pediatrics | Past | Accepting new patients |
Organizations & group practices 1
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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1432080000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1646784000000",
"number": "1275912586",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7414 LEGACY ST",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464244",
"telephone_number": "402-212-4876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "701 OLSON DR STE 108",
"city": "PAPILLION",
"state": "NE",
"postal_code": "680464797",
"telephone_number": "402-212-4876"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WILLIAMS",
"first_name": "HOLLY",
"middle_name": "MARGARET",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-20",
"last_updated": "2022-03-09",
"certification_date": "2022-03-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "NE",
"license": "3361",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "10025611000",
"state": "NE"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "HOLLY",
"last_name": "WALTS",
"middle_name": "MARGARET",
"credential": "PT, DPT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Papillion, NE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.