Individual provider Active NPI

Hailey Marie Holder, DPT

  • Physical Therapist
  • Dickson, TN
National Provider Identifier
1528348984
Registry record updated Feb 19, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8993 Issued in TN
Practice address
198 Hillview St
Dickson, TN 37055-1285
Phone
(615) 446-8159
Fax
(615) 446-8162
NPI assigned
Aug 17, 2011
Last updated
Feb 19, 2021By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 19, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 8993 TN Primary

Addresses

Primary practice location

198 Hillview St
Dickson, TN 37055-1285

Mailing address

198 Hillview St
Dickson, TN 37055-1285
Phone (615) 446-8159

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310000510 TN Practitioner - Physical Therapist in Private Practice 8729494125 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8993TNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Physical Therapy Holdings Inc CurrentSince Feb 1, 2021 Accepting new patients
Select Physical Therapy Holdings Inc CurrentSince Feb 1, 2021 Accepting new patients
Select Physical Therapy Holdings Inc Physical Therapist Current Accepting new patients

Locations

127 Crestview Park Dr
Ste 102
Dickson, TN 37055
Phone (615) 346-1732

198 Hillview St
Dickson, TN 37055
Phone (615) 446-8159

1501 12th Ave S
Nashville, TN 37203
Phone (615) 269-3461

Organizations & group practices 3

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1313539200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1613692800000",
    "number": "1528348984",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "198 HILLVIEW ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551285",
            "telephone_number": "615-446-8159",
            "fax_number": "615-446-8162"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "198 HILLVIEW ST",
            "city": "DICKSON",
            "state": "TN",
            "postal_code": "370551285",
            "telephone_number": "615-446-8159",
            "fax_number": "615-446-8162"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "HAILEY",
        "middle_name": "MARIE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-08-17",
        "last_updated": "2021-02-19",
        "certification_date": "2021-02-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8993",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dickson, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 19, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.