Holly L Politis

Primary specialty

Sports Physical TherapistTaxonomy code 2251S0007X

License

104.0078877 Issued in VT

Practice address

279 Business Route 4
Suite 3
Center Rutland, VT 05736-9701

Phone

(802) 773-8600

NPI assigned

Aug 31, 2011

Last updated

Aug 31, 2011By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other names 1

• Holly Politis Professional name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Advantage Physical Therapy and Human Performance

  • Physical Therapist
  • Center Rutland, VT
  • NPI 1588779888
  NPD (past)

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

{
    "created_epoch": "1314748800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314748800000",
    "number": "1427339712",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4",
            "address_2": "SUITE 3",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369701",
            "telephone_number": "802-773-8600"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "279 BUSINESS ROUTE 4",
            "address_2": "SUITE 3",
            "city": "CENTER RUTLAND",
            "state": "VT",
            "postal_code": "057369701",
            "telephone_number": "802-773-8600"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POLITIS",
        "first_name": "HOLLY",
        "middle_name": "L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-31",
        "last_updated": "2011-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VT",
            "license": "104.0078877",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "POLITIS",
            "credential": "ATC",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Sue Lola Geesey-Jean, ATC,L
• Terri R Henderson, LMT
• Integrated Neurology PC (Ashcroft Chiropractic Center)
• Susan Morgan Mandel, PT
• Aleksandra Martin, CMT
• Proactive Physical Therapy
• Proactive Physical Therapy, PC
• Nicole E Underwood
• Jean Marie Walker, MSSW
• Darci Lynn Whitehorne, MSPT

• Sports Physical Therapist in Center Rutland, VT
• Providers in Center Rutland, VT by specialty
• Sports Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.