Ronald Holthaus, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

6678 Issued in FL

Practice address

1950 Bluewater Blvd
Suite 101
Niceville, FL 32578-3887

Phone

(850) 897-3334

Fax

(850) 897-7855

NPI assigned

Jul 26, 2007

Last updated

Jun 5, 2016By the provider in NPPES

Sex

Male

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

• Ronald Holthaus Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1185408000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1465084800000",
    "number": "1306036363",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD",
            "address_2": "SUITE 101",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783887",
            "telephone_number": "850-897-3334",
            "fax_number": "850-897-7855"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1950 BLUEWATER BLVD",
            "address_2": "SUITE 101",
            "city": "NICEVILLE",
            "state": "FL",
            "postal_code": "325783887",
            "telephone_number": "850-897-3334",
            "fax_number": "850-897-7855"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTHAUS",
        "first_name": "RONALD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-07-26",
        "last_updated": "2016-06-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "6678",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "IN504Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RONALD",
            "last_name": "HOLTHAUS",
            "credential": "PT",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Holiday CVS LLC (CVS Pharmacy 04612)
• Holiday CVS LLC (CVS Pharmacy #05178)
• Deborah Joy Hollis, LMHC-S
• Alexia Holt
• Andy S. Holtery, DMD
• Kathleen Hood, D.D.S.
• Shanna Horn
• Ladd M Horvath, DDS
• Bryan Nelson House, DDS
• Candice Howell, RN, CCM

• Physical Therapist in Niceville, FL
• Providers in Niceville, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 5, 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.