Active NPI
Rhett E Holladay
- Physical Therapist
- Raleigh, NC
National Provider Identifier
1528231024
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2708
- Practice address
- 1025-105 Bullard Court
Raleigh, NC 27615-6801 - Phone
- (919) 875-1932
- Fax
- (919) 875-1933
- NPI assigned
- Apr 7, 2008
- 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 | 2708 | NC | Primary |
Addresses
Primary practice location
1025-105 Bullard Court
Raleigh, NC 27615-6801
Mailing address
1025-105 Bullard Court
Raleigh, NC 27615
Phone (919) 875-1932
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 562280143 | Other | NC | TAX ID |
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 |
|---|---|---|---|
| 2708 | NC | MD | Clinical Child & Adolescent Psychologist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Trinity Wellness Center, LLC | Physical Therapist | 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 and National Provider Directory roles.
-
- Physical Therapist
- Raleigh, NC
- NPI 1396762886
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1207526400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1280966400000",
"number": "1528231024",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1025-105 BULLARD COURT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "27615",
"telephone_number": "919-875-1932",
"fax_number": "919-875-1933"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1025-105 BULLARD COURT",
"city": "RALEIGH",
"state": "NC",
"postal_code": "276156801",
"telephone_number": "919-875-1932",
"fax_number": "919-875-1933"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADAY",
"first_name": "RHETT",
"middle_name": "E",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-07",
"last_updated": "2010-08-05",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NC",
"license": "2708",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "TAX ID",
"identifier": "562280143",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}Other providers in Raleigh, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 5, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.