Active NPI
Michelle Loraine Holcombe, PT
- Physical Therapist
- Greenville, SC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 5342
- Practice address
- 319 Mills Ave
Greenville, SC 29605-4021 - Phone
- (864) 233-1153
- Fax
- (864) 271-4487
- NPI assigned
- Dec 8, 2006
- Last updated
- Jul 8, 2007
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 5342 | SC | Primary |
Addresses
Primary practice location
319 Mills Ave
Greenville, SC 29605-4021
Mailing address
47 Huntress Dr
Greer, SC 29651-1284
Phone (864) 363-3090
Other names 1
- Miss Michelle Loraine Moore
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in SC
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2006
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
190 River Park Dr
Little River, SC 29566-6844
Phone (843) 734-1457
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5342 | SC | MD | Professional Counselor |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Legacy Healthcare Services Inc | Physical Therapist | Current | Accepting new patients |
| Matrix Rehabilitation South Carolina, Inc. | Past | Accepting new patients | |
| Matrix Rehabilitation-South Carolina, Inc. | Physical Therapist | Past | Accepting new patients |
Locations
110 Horizon Dr
Ste 310
Raleigh, NC 27615
Phone (919) 861-2441
1180 Haywood Rd
Greenville, SC 29615
Phone (864) 288-8093
Organizations & group practices 4
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.
-
- Physical Therapist
- Little River, SC
- NPI 1366063000
-
- Physical Therapist
- Cary, NC
- NPI 1225879489
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Greenville, SC
- NPI 1023034048
-
dba Select Physical Therapy
- Rehabilitation Clinic/Center
- Rock Hill, SC
- NPI 1093731176
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1165536000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1457411852",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "47 HUNTRESS DR",
"city": "GREER",
"state": "SC",
"postal_code": "296511284",
"telephone_number": "864-363-3090",
"fax_number": "864-271-4487"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "319 MILLS AVE",
"city": "GREENVILLE",
"state": "SC",
"postal_code": "296054021",
"telephone_number": "864-233-1153",
"fax_number": "864-271-4487"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLCOMBE",
"first_name": "MICHELLE",
"middle_name": "LORAINE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-12-08",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SC",
"license": "5342",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "MICHELLE",
"last_name": "MOORE",
"middle_name": "LORAINE",
"prefix": "MISS",
"credential": "PT",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Greenville, SC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.