Active NPI
Holly Paige Webster
- Physical Therapy Assistant
- Tyler, TX
National Provider Identifier
1487702247
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- 2074103
- Practice address
- 1401 Rice Rd
Tyler, TX 75703-3233 - Phone
- (903) 561-6060
- Fax
- (256) 832-2004
- NPI assigned
- Jan 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 Therapy Assistant | 225200000X | 2074103 | TX | Primary |
Addresses
Primary practice location
1401 Rice Rd
Tyler, TX 75703-3233
Mailing address
23319 CR 2116
Troup, TX 75789-5716
Phone (256) 626-8337
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2074103 | TX | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168214400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1687651200000",
"number": "1487702247",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "23319 CR 2116",
"city": "TROUP",
"state": "TX",
"postal_code": "757895716",
"telephone_number": "256-626-8337"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1401 RICE RD",
"city": "TYLER",
"state": "TX",
"postal_code": "757033233",
"telephone_number": "903-561-6060",
"fax_number": "256-832-2004"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WEBSTER",
"first_name": "HOLLY",
"middle_name": "PAIGE",
"name_prefix": "Miss",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-08",
"last_updated": "2023-06-25",
"certification_date": "2023-06-25",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "TX",
"license": "2074103",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tyler, TX
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.