Active NPI
Amy K Holthaus, DPT
- Physical Therapist
- Auburn, CA
National Provider Identifier
1548635451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 43271
- Practice address
- 11960 Heritage Oak PL
Suite 19
Auburn, CA 95603-2401 - Phone
- (530) 878-5301
- Fax
- (530) 878-5303
- NPI assigned
- Dec 2, 2015
- 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 | 43271 | CA | Primary |
Addresses
Primary practice location
11960 Heritage Oak PL
Suite 19
Auburn, CA 95603-2401
Mailing address
588 N Sunrise Ave
Ste 100
Roseville, CA 95661-2843
Phone (916) 782-7848
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 13668339 | Other | CA | CAQH |
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 |
|---|---|---|---|
| 43271 | CA | MD | General Practice Dentistry |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1449014400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1453334400000",
"number": "1548635451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "588 N SUNRISE AVE",
"address_2": "STE 100",
"city": "ROSEVILLE",
"state": "CA",
"postal_code": "956612843",
"telephone_number": "916-782-7848",
"fax_number": "916-782-7855"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "11960 HERITAGE OAK PL",
"address_2": "SUITE 19",
"city": "AUBURN",
"state": "CA",
"postal_code": "956032401",
"telephone_number": "530-878-5301",
"fax_number": "530-878-5303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTHAUS",
"first_name": "AMY",
"middle_name": "K",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-12-02",
"last_updated": "2016-01-21",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "43271",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CAQH",
"identifier": "13668339",
"state": "CA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Auburn, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.