Brian Matthew Holliday, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT009408 Issued in GA

Practice address

255 Oakmere Dr
Alpharetta, GA 30009-3268

Phone

(770) 910-4631

NPI assigned

Aug 27, 2014

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Medical College of Georgia School of Medicine, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Form Physical Therapy LLCGroup PAC ID 0446595573, 5 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Form Physical Therapy LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1457840290
  Medicare reassignment Care Compare group NPD
• Immanuels Word Inc

  • Physical Therapy Clinic/Center
  • Alpharetta, GA
  • NPI 1912949322
  Medicare reassignment NPD

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

{
    "created_epoch": "1409097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1409097600000",
    "number": "1376943274",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 OAKMERE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093268",
            "telephone_number": "770-910-4631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "255 OAKMERE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093268",
            "telephone_number": "770-910-4631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "BRIAN",
        "middle_name": "MATTHEW",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2014-08-27",
        "last_updated": "2014-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT009408",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Melissa Hofmann
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• Lauren M Holland
• Cynthia Hollingsworth
• Ashley Wright Holloway, AU.D., CCC-A
• Charles Hollub
• Sarah Hollub, DPT
• Lelana Holmes

• Physical Therapist in Alpharetta, GA
• Providers in Alpharetta, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2014; 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.