Active NPI
Holle E. Gilbert, PTA
- Physical Therapy Assistant
- Union, MO
National Provider Identifier
1285840314
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 116920
- Practice address
- 1935 Prairie Dell Rd
Union, MO 63084-4328 - Phone
- (636) 584-0556
- Fax
- (636) 584-7049
- NPI assigned
- May 15, 2007
- 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 Therapy Assistant | 225200000X | 116920 | MO | Primary |
Addresses
Primary practice location
1935 Prairie Dell Rd
Union, MO 63084-4328
Mailing address
17407 Hilltop Ridge Dr
Eureka, MO 63025-1037
Phone (636) 938-5371
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 |
|---|---|---|---|
| 116920 | MO | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179187200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1285840314",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17407 HILLTOP RIDGE DR",
"city": "EUREKA",
"state": "MO",
"postal_code": "630251037",
"telephone_number": "636-938-5371"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1935 PRAIRIE DELL RD",
"city": "UNION",
"state": "MO",
"postal_code": "630844328",
"telephone_number": "636-584-0556",
"fax_number": "636-584-7049"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GILBERT",
"first_name": "HOLLE",
"middle_name": "E.",
"name_prefix": "Mrs.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-15",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "MO",
"license": "116920",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Union, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.