Individual provider Active NPI

Cristie R Holland, P.T.

  • Physical Therapist
  • Albany, NY
National Provider Identifier
1538339783
Registry record updated Mar 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0224541 Issued in NY
Practice address
180 Washington Ave.
Albany, NY 12203
Phone
(518) 456-7831
Fax
(518) 456-7597
NPI assigned
Mar 4, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 4, 2008

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 0224541 NY Primary

Addresses

Primary practice location

180 Washington Ave.
Albany, NY 12203

Mailing address

550 Frontage Rd
Suite #2415
Northfield, IL 60093-1202
Phone (847) 441-5593

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

LicenseStateTypeSpecialty
0224541NYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Highline Physical Therapy Group Physical Therapist Past Accepting new patients
Select Outpatient Services Inc Physical Therapist Past Accepting new patients

Organizations & group practices 2

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": "1204588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1204588800000",
    "number": "1538339783",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "550 FRONTAGE RD",
            "address_2": "SUITE #2415",
            "city": "NORTHFIELD",
            "state": "IL",
            "postal_code": "600931202",
            "telephone_number": "847-441-5593",
            "fax_number": "847-441-0734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "180 WASHINGTON AVE.",
            "city": "ALBANY",
            "state": "NY",
            "postal_code": "12203",
            "telephone_number": "518-456-7831",
            "fax_number": "518-456-7597"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "CRISTIE",
        "middle_name": "R",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-03-04",
        "last_updated": "2008-03-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NY",
            "license": "0224541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Albany, NY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2008; 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.