Active NPI
Sabrina Dawn Holmes
- Physical Therapy Assistant
- Henderson, KY
National Provider Identifier
1497952402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A01403
- Practice address
- 2500 N Elm St
Henderson, KY 42420-2005 - Phone
- (270) 826-9794
- Fax
- (270) 826-6265
- NPI assigned
- Jul 2, 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 | A01403 | KY | Primary |
Addresses
Primary practice location
2500 N Elm St
Henderson, KY 42420-2005
Mailing address
2872 N Negley Rd
Henderson, KY 42420-9261
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 |
|---|---|---|---|
| A01403 | KY | MD | Physical Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ervin Physical Therapy, PLLC | Current | Accepting new patients |
Locations
2606 Zion Rd
Ste N
Henderson, KY 42420
Phone (270) 873-4685
257 N Padgett St
Morganfield, KY 42437
Phone (270) 873-4685
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 and National Provider Directory roles.
-
- Physical Therapist
- Morganfield, KY
- NPI 1770105223
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1183334400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1497952402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2872 N NEGLEY RD",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424209261"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2500 N ELM ST",
"city": "HENDERSON",
"state": "KY",
"postal_code": "424202005",
"telephone_number": "270-826-9794",
"fax_number": "270-826-6265"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "SABRINA",
"middle_name": "DAWN",
"name_prefix": "Mrs.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-07-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "KY",
"license": "A01403",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Henderson, KY
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.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.