Dara Holt, PT, DPT
Individual provider Active NPI Physical Therapist · Awendaw, SC
NPI 1356019376 · NPPES record last updated Jan 17, 2025
Key facts
- NPI
- 1356019376
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 10897 (SC)
- Practice address
- 3909 Sawmill CT
Awendaw, SC 29429-5704 - Phone
- (814) 282-7499
- Fax
- (855) 975-0605
- NPI assigned
- Sep 3, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 10897 | SC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| High Tide Pediactric Therapy LLC | Physical Therapist | Current |
Accepting new patients |
| Tri-County Therapy, LLC | Physical Therapist | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 10897 | SC | Yes |
Addresses
Primary practice location
3909 Sawmill CT
Awendaw, SC 29429-5704
Mailing address
814 Melrose Dr
Charleston, SC 29414-5507
Phone (610) 368-0281
Other providers in Awendaw, SC
- Shonda Nicole Coleman
- Early Advantage, LLC
- Brittney Lynn Farrell
- Sarah Beth Ferrillo
- High Tide Pediactric Therapy LLC
- Terra Lynn Kloth
- Lets Talk Speech Language and Feeding Therapy LLC
- Livefree Medical LLC
- Lowcountry Paramed LLC
- Lowcountry Theratx LLC
All providers in Awendaw, SC · Physical Therapist in South Carolina
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 17, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.