Holly Marie Meiergerd, PT, PCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

2655 Issued in NE

Practice address

1760 County Road J
Wahoo, NE 68066-4152

Phone

(402) 443-4191

Fax

(402) 443-1445

NPI assigned

Jun 10, 2008

Last updated

Mar 15, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Holly Marie Havlovic Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Procare3, Inc.

  dba Fyzical Therapy and Balance Centers

  • Rehabilitation Practitioner
  • Omaha, NE
  • NPI 1942266945
  NPD (past)

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1213056000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1458000000000",
    "number": "1285894667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1445"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 COUNTY ROAD J",
            "city": "WAHOO",
            "state": "NE",
            "postal_code": "680664152",
            "telephone_number": "402-443-4191",
            "fax_number": "402-443-1445"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MEIERGERD",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "PT, PCS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-06-10",
        "last_updated": "2016-03-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "2655",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "09177",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "HAVLOVIC",
            "middle_name": "MARIE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Makovicka Sylliaasen PC
• Joel Patrick Makovicka, DPT
• Amanda R. Malina, APRN
• Hannah Isabelle Maschka, PMHP
• Leo L Meduna, MD
• Alissa Claire Meyer, PT, DPT
• Katherine Morse
• Gregory Lee Nabity, PA-C
• Barrett Ryan Nelson
• Peyton Thomas Nelson

• Physical Therapist in Wahoo, NE
• Providers in Wahoo, NE by specialty
• Physical Therapist in Nebraska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.