Individual provider Active NPI

Sabrina Dawn Holmes

  • Physical Therapy Assistant
  • Henderson, KY
National Provider Identifier
1497952402
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
A01403 Issued in KY
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

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

LicenseStateTypeSpecialty
A01403KYMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Ervin Physical Therapy, PLLC CurrentSince May 6, 2020 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.

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.

Verify at the official NPI Registry.