Millicent E. Holliman, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT4480 Issued in MS

Practice address

15190 Community Rd
Suite 120
Gulfport, MS 39503-3485

Phone

(228) 831-0416

Fax

(228) 831-0521

NPI assigned

Aug 5, 2010

Last updated

Jun 28, 2012By 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 identifiers 2

Other names 1

• Millicent E Lawrence Former name

Medicare fee-for-service enrollment

Enrolled in MS

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Encore Rehabilitation, IncGroup PAC ID 3577462126, 182 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Encore Rehabilitation, Inc.

  • Physical Therapy Clinic/Center
  • Decatur, AL
  • NPI 1033218524

  MS, Physical Therapist

  Medicare reassignment Care Compare group NPD
• Encore Rehabilitation, Inc.

  dba Encore Coast Hand Therapy

  • Occupational Medicine Clinic/Center
  • Gulfport, MS
  • NPI 1437962313

  Physical Therapist

  NPD
• Encore Rehabiliation Inc

  dba Encore Rehab of Gulfport OG

  • Physical Therapy Clinic/Center
  • Gulfport, MS
  • NPI 1407981475

  Physical Therapist

  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Loyalton

  • Physical Therapy Clinic/Center
  • Biloxi, MS
  • NPI 1043346976
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Columbus

  • Physical Therapist
  • Columbus, MS
  • NPI 1063716397
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of MSGCCC

  • Physical Therapy Clinic/Center
  • Perkinston, MS
  • NPI 1083853816

  Physical Therapist

  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Starkville

  • Physical Therapist
  • Starkville, MS
  • NPI 1174867253
  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Lucedale

  • Physical Therapy Clinic/Center
  • Lucedale, MS
  • NPI 1205962537

  Physical Therapist

  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Gulfport DT

  • Physical Therapy Clinic/Center
  • Gulfport, MS
  • NPI 1265567226

  Physical Therapist

  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Poplarville

  • Physical Therapy Clinic/Center
  • Poplarville, MS
  • NPI 1356478515

  Physical Therapist

  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of Oak Grove

  • Physical Therapy Clinic/Center
  • Hattiesburg, MS
  • NPI 1417251414

  Physical Therapist

  NPD (past)
• Encore Rehabilitation Inc

  dba Encore Rehab of AFRH

  • Physical Therapy Clinic/Center
  • Gulfport, MS
  • NPI 1437401593
  NPD (past)

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

{
    "created_epoch": "1280966400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1340841600000",
    "number": "1437463122",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 8419",
            "city": "BILOXI",
            "state": "MS",
            "postal_code": "395358087",
            "telephone_number": "228-388-5714",
            "fax_number": "228-388-0017"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "15190 COMMUNITY RD",
            "address_2": "SUITE 120",
            "city": "GULFPORT",
            "state": "MS",
            "postal_code": "395033485",
            "telephone_number": "228-831-0416",
            "fax_number": "228-831-0521"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIMAN",
        "first_name": "MILLICENT",
        "middle_name": "E.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-08-05",
        "last_updated": "2012-06-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MS",
            "license": "PT4480",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GROUP NPI",
            "identifier": "1033218524",
            "state": "MS"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "09015077",
            "state": "MS"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MILLICENT",
            "last_name": "LAWRENCE",
            "middle_name": "E",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Chelsey L Holden, PHD, LMFT, LPC
• Aubrey Olivia Holland, DMD
• James Holland, M.D.
• Maureen Holland, M.D.
• Madison Katherine Holliman
• Paula Hollingsworth, LMFT
• Andria D Holloway, NP
• Mona Marie Holloway, LCSW
• Donna Holt
• Eugene C Holthouser Jr., BSW

• Physical Therapist in Gulfport, MS
• Providers in Gulfport, MS by specialty
• Physical Therapist in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2012; 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.