Individual provider Active NPI

Lauren Sue Holtzman, P.T.

  • Physical Therapist
  • Catonsville, MD
National Provider Identifier
1376746917
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
15282 Issued in MD
Practice address
924 Frederick Rd Rear
Catonsville, MD 21228-4516
Phone
(410) 744-2800
Fax
(410) 313-8622
NPI assigned
Jun 11, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 15282 MD Primary

Addresses

Primary practice location

924 Frederick Rd Rear
Catonsville, MD 21228-4516

Mailing address

924 Frederick Rd Rear
Catonsville, MD 21228-4516
Phone (410) 744-2800

Other identifiers 2

IdentifierTypeStateIssuer
T104OtherMDGHMI
J315LSOtherMDCARE FIRST

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20051128000088 MD Practitioner - Physical Therapist in Private Practice 3678593399 Practice locations: Cantonsville, MD

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1981
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

924 Frederick Rd
Rear
Catonsville, MD 21228-4516

924 Frederick Rd Rear
Catonsville, MD 21228-4516

924 Frederick Rd Rear
Cantonsville, MD 21228-4599
Phone (410) 744-2800

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1181520000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1376746917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "924 FREDERICK RD REAR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516",
            "telephone_number": "410-744-2800",
            "fax_number": "410-313-8622"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "924 FREDERICK RD REAR",
            "city": "CATONSVILLE",
            "state": "MD",
            "postal_code": "212284516",
            "telephone_number": "410-744-2800",
            "fax_number": "410-313-8622"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZMAN",
        "first_name": "LAUREN",
        "middle_name": "SUE",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-11",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MD",
            "license": "15282",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GHMI",
            "identifier": "T104",
            "state": "MD"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "CARE FIRST",
            "identifier": "J315LS",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Catonsville, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.