Kaitlyn Hollman

Primary specialty

Physician AssistantTaxonomy code 363A00000X

License

PA9119288 Issued in FL

Practice address

1601 Clint Moore Rd Ste 125
Boca Raton, FL 33487-5714

Phone

(561) 395-5733

NPI assigned

Jan 5, 2023

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in FL

Eligible to order & refer

• Part B services: Yes
• Medical equipment: Yes
• Home health: Yes
• Power mobility devices: Yes
• Hospice: No

Green means eligible to order or refer.

Enrollment records 1

Specialty

Physician Assistant

Education

Other, 2024

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Orthopaedic Surgery Associates PAGroup PAC ID 8123911518, 19 clinicians

Fairway Physical Therapy LLCGroup PAC ID 3971563222, 85 clinicians

Practice addresses (Care Compare)

Hospital & facility affiliations

• Boca Raton Regional Hospital Hospital, Boca Raton, FL, CCN 100168

Medicare enrollment (NPD)

Enrolled

Credentials

Physician Assistant

Practice roles

Locations

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.

• Orthopaedic Surgery Associates PA

  • Orthopaedic Surgery Physician
  • Boynton Beach, FL
  • NPI 1104865088
  Medicare reassignment Care Compare group
• Fairway Physical Therapy LLC

  • Physical Therapist
  • Palm Beach Gardens, FL
  • NPI 1376557090
  Care Compare group
• Orthopaedic Surgery Associates, PA

  • Durable Medical Equipment & Medical Supplies
  • Boynton Beach, FL
  • NPI 1285316414
  NPD

Hospitals and other facilities this clinician is affiliated with according to Medicare Care Compare.

• Boca Raton Regional Hospital, Inc.

  • General Acute Care Hospital
  • Boca Raton, FL
  • NPI 1902826779
  Care Compare affiliation

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

{
    "created_epoch": "1672876800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1528772498",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875714",
            "telephone_number": "561-395-5733"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 CLINT MOORE RD STE 125",
            "city": "BOCA RATON",
            "state": "FL",
            "postal_code": "334875714",
            "telephone_number": "561-395-5733"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLMAN",
        "first_name": "KAITLYN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-01-05",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": "FL",
            "license": "PA9119288",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Peter Jay Holland, MD
• Allison Marie Shein Holley, M.D.
• Veronique Holley, PTA
• Brian Lee Hollibush, M.D.
• Hollis Silverman, PA
• Hollywood Foot & Ankle Center Inc
• Anouchka Coste Holt, D.O.
• Lyle Allen Holthus, SCHOOL PSYCHOLOGIST
• Sarah Holton, ATC
• Holy Cross Hospital, Inc.

• Physician Assistant in Boca Raton, FL
• Providers in Boca Raton, FL by specialty
• Physician Assistant in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; Order and Referring.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.