Active NPI
Cristie R Holland, P.T.
- Physical Therapist
- Albany, NY
National Provider Identifier
1538339783
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0224541
- 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
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 | 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
| License | State | Type | Specialty |
|---|---|---|---|
| 0224541 | NY | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
dba Highline Therapy Services
- Physical Therapist
- Burien, WA
- NPI 1477797991
-
- Rehabilitation Clinic/Center
- Newcastle, WA
- NPI 1285909531
Physical Therapist
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.