Individual provider Active NPI

Holly Sellers, PT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1407166440
Registry record updated Jul 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5266 Issued in SC
Practice address
144 Leisure LN Ste 100
Columbia, SC 29210-4156
Phone
(803) 331-3682
Fax
(803) 791-3862
NPI assigned
Oct 8, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 25, 2019

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 5266 SC Primary

Addresses

Primary practice location

144 Leisure LN Ste 100
Columbia, SC 29210-4156

Mailing address

144 Leisure LN Ste 100
Columbia, SC 29210-4156
Phone (803) 888-6125

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20170210001369 SC Practitioner - Physical Therapist in Private Practice 8921381286 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Acker Physical TherapyGroup PAC ID 8325381411, 9 clinicians

Practice addresses (Care Compare)

144 Leisure LN
Suite 100
Columbia, SC 29210-4156
Phone (803) 708-3950

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5266SCMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Acker Physical Therapy CurrentSince Jul 21, 2019 Accepting new patients

Locations

144 Leisure Ln
Ste 100
Columbia, SC 29210
Phone (803) 708-3950

1 Wellness Blvd
Ste 204
Irmo, SC 29063
Phone (803) 331-3682

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.

NPI Registry JSON

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

{
    "created_epoch": "1286496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1564012800000",
    "number": "1407166440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "144 LEISURE LN STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104156",
            "telephone_number": "803-888-6125",
            "fax_number": "803-888-6085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "144 LEISURE LN STE 100",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292104156",
            "telephone_number": "803-331-3682",
            "fax_number": "803-791-3862"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SELLERS",
        "first_name": "HOLLY",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-10-08",
        "last_updated": "2019-07-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "5266",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2019; 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.