Active NPI
Adam A. Holleran, PT
- Physical Therapist
- Cincinnati, OH
National Provider Identifier
1285756056
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT.011729
- Practice address
- 7575 5 Mile Rd
Cincinnati, OH 45230-4346 - Phone
- (513) 233-4360
- Fax
- (513) 233-4361
- NPI assigned
- Apr 4, 2007
- Sex
- Male
- 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 | PT.011729 | OH | Primary |
Addresses
Primary practice location
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Mailing address
7575 5 Mile Rd
Cincinnati, OH 45230-4346
Phone (513) 233-4360
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000000512751 | Other | OH | ANTHEM |
| P00463355 | Other | OH | MEDICARE RAILROAD |
| 2755488 | Medicaid | OH |
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)
- Enrolled
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175644800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1379894400000",
"number": "1285756056",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "7575 5 MILE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304346",
"telephone_number": "513-233-4360",
"fax_number": "513-233-4361"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7575 5 MILE RD",
"city": "CINCINNATI",
"state": "OH",
"postal_code": "452304346",
"telephone_number": "513-233-4360",
"fax_number": "513-233-4361"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLERAN",
"first_name": "ADAM",
"middle_name": "A.",
"name_prefix": "Mr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-04",
"last_updated": "2013-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT.011729",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ANTHEM",
"identifier": "000000512751",
"state": "OH"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICARE RAILROAD",
"identifier": "P00463355",
"state": "OH"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "2755488",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Cincinnati, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 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.