Active NPI
Rebecca Holland
- Physical Therapist
- Madison, AL
National Provider Identifier
1447649660
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PTH6458
- Practice address
- 8337 Highway 72 W Ste 102
Madison, AL 35758-9548 - Phone
- (256) 319-6515
- NPI assigned
- Jan 12, 2015
- Last updated
- Oct 5, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PTH6458 | AL | Primary |
| Occupational Therapist | 225X00000X | 3490 | AL |
Addresses
Primary practice location
8337 Highway 72 W Ste 102
Madison, AL 35758-9548
Mailing address
927 Franklin St SE
Huntsville, AL 35801-4306
Phone (256) 536-9300
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1508947839 | Other | AL | GROUP NPI |
| 529906520 | Medicaid | AL |
Other names 1
- Rebecca Adams
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTH6458 | AL | MD | Physical Therapist |
| 3490 | AL | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Alabama ENT Associates, P.C. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Otolaryngology Physician
- Madison, AL
- NPI 1215057492
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1421020800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1601856000000",
"number": "1447649660",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "927 FRANKLIN ST SE",
"city": "HUNTSVILLE",
"state": "AL",
"postal_code": "358014306",
"telephone_number": "256-536-9300",
"fax_number": "256-535-9032"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8337 HIGHWAY 72 W STE 102",
"city": "MADISON",
"state": "AL",
"postal_code": "357589548",
"telephone_number": "256-319-6515"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "REBECCA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-01-12",
"last_updated": "2020-10-05",
"certification_date": "2020-10-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AL",
"license": "PTH6458",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "3490",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "GROUP NPI",
"identifier": "1508947839",
"state": "AL"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "529906520",
"state": "AL"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "REBECCA",
"last_name": "ADAMS",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Madison, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.