Individual provider Active NPI

Holliann Charm, DPT

  • Physical Therapist
  • Reno, NV
National Provider Identifier
1336704691
Registry record updated Jan 30, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
4312 Issued in NV
Practice address
2667 Enterprise Rd
Reno, NV 89512-1666
Phone
(775) 688-7341
NPI assigned
May 2, 2019
Last updated
Jan 30, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 30, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT60939830 WA
Physical Therapist 225100000X 4312 NV Primary

Addresses

Primary practice location

2667 Enterprise Rd
Reno, NV 89512-1666

Mailing address

3146 Bristle Branch Dr
Sparks, NV 89434-1509

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NV

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20241212002612 NV Practitioner - Physical Therapist in Private Practice 5597090175 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4312NVMDGeneral Practice Dentistry

Practice roles

OrganizationSpecialtyStatusNew patients
Affiliated Physical Therapy Physical Therapist CurrentSince Dec 2, 2024 Accepting new patients
A Charming Motion LLC CurrentSince Feb 2, 2025 Accepting new patients
Therapy West LLC Physical Therapist Past Accepting new patients

Locations

1333 N Buffalo Dr
Unit 170
Las Vegas, NV 89128
Phone (702) 660-2694

9050 W Cheyenne Ave
#210
Las Vegas, NV 89129
Phone (702) 209-0069

3840 W Ann Rd
Ste 101B
North Las Vegas, NV 89031
Phone (702) 660-2694

2250 Postal Dr
Ste 4
Pahrump, NV 89048
Phone (775) 727-3838

16560 Wedge Pkwy
Ste 200A
Reno, NV 89511
Phone (775) 384-1400

4878 Sparks Blvd
Sparks, NV 89436

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1556755200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738195200000",
    "number": "1336704691",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3146 BRISTLE BRANCH DR",
            "city": "SPARKS",
            "state": "NV",
            "postal_code": "894341509"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2667 ENTERPRISE RD",
            "city": "RENO",
            "state": "NV",
            "postal_code": "895121666",
            "telephone_number": "775-688-7341"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHARM",
        "first_name": "HOLLIANN",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-05-02",
        "last_updated": "2025-01-30",
        "certification_date": "2025-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60939830",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "4312",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Reno, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.