Active NPI
Henry Clay Holton Jr., DPT, PT
- Physical Therapist
- Chatsworth, GA
National Provider Identifier
1376098061
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT012556
- Practice address
- 1422 Green Rd Ste N
Chatsworth, GA 30705 - Phone
- (706) 695-9699
- Fax
- (706) 695-1623
- NPI assigned
- Aug 23, 2016
- Sex
- Male
- 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 Therapist | 225100000X | PT012556 | GA | Primary |
Addresses
Primary practice location
1422 Green Rd Ste N
Chatsworth, GA 30705
Mailing address
PO Box 949
Rome, GA 30162-0949
Phone (706) 295-0081
Other practice location 1
440 Society Hill Dr
Aiken, SC 29803-1754
Phone (803) 226-0136
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 8393 | SC | MD | Mental Health Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Holton Physical Therapy and Performance Coaching, LLC | Physical Therapist | Current | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- Physical Therapist
- Augusta, GA
- NPI 1902597115
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1471910400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1570579200000",
"number": "1376098061",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 949",
"city": "ROME",
"state": "GA",
"postal_code": "301620949",
"telephone_number": "706-295-0081",
"fax_number": "706-295-0209"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1422 GREEN RD STE N",
"city": "CHATSWORTH",
"state": "GA",
"postal_code": "30705",
"telephone_number": "706-695-9699",
"fax_number": "706-695-1623"
}
],
"practiceLocations": [
{
"address_1": "440 Society Hill Dr",
"address_purpose": "LOCATION",
"city": "Aiken",
"state": "SC",
"postal_code": "298031754",
"country_code": "US",
"telephone_number": "803-226-0136",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLTON",
"first_name": "HENRY",
"middle_name": "CLAY",
"name_suffix": "Jr.",
"credential": "DPT, PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2016-08-23",
"last_updated": "2019-10-09",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "GA",
"license": "PT012556",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Chatsworth, GA
- Highland Rivers Community Service Board
- Highland Rivers Community Service Board
- Angeline Michelle Hill, CCC-SLP
- Hma Health Systems
- Noelle Holland, MS, OTR/L
- Home Physician Care of Northwest Georgia, LLC
- Joanne Elizabeth Hooks, APRN-BC
- Tracy Hooper, FNP
- Kayley Faye Howard, RBT
- Immanuel Women'S Center, L.L.C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.