Active NPI
Christine Holland, PT
- Pediatric Physical Therapist
- Springfield, TN
National Provider Identifier
1285021790
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Physical Therapist
- License
- PT0000007731
- Practice address
- 514 S Brown St
Ste 600
Springfield, TN 37172-2937 - Phone
- (615) 382-0500
- Fax
- (615) 382-0501
- NPI assigned
- Apr 22, 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 | PT0000007731 | TN | Primary |
Addresses
Primary practice location
514 S Brown St
Ste 600
Springfield, TN 37172-2937
Mailing address
PO Box 1637
Springfield, TN 37172-1637
Phone (615) 382-0500
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1534482 | Medicaid | TN |
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 |
|---|---|---|---|
| PT0000007731 | TN | MD | Pediatric Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Shine Pediatric Therapy | Pediatrics | Past | Accepting new patients |
| Springfield Pediatric Therapy Center PLLC | 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 and National Provider Directory roles.
-
- Specialist
- Springfield, TN
- NPI 1639303142
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1429660800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1538006400000",
"number": "1285021790",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1637",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371721637",
"telephone_number": "615-382-0500",
"fax_number": "615-382-0501"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "514 S BROWN ST",
"address_2": "STE 600",
"city": "SPRINGFIELD",
"state": "TN",
"postal_code": "371722937",
"telephone_number": "615-382-0500",
"fax_number": "615-382-0501"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "CHRISTINE",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-04-22",
"last_updated": "2018-09-27",
"status": "A"
},
"taxonomies": [
{
"code": "2251P0200X",
"taxonomy_group": "",
"desc": "Physical Therapist, Pediatrics",
"state": "TN",
"license": "PT0000007731",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1534482",
"state": "TN"
}
],
"endpoints": [],
"other_names": []
}Other providers in Springfield, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.