Holistic Physical Therapy Inc.

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

HOLISTIC PHYSICAL THERAPY INC.

Practice address

25003 Starr STR
Loma Linda, CA 92354

Phone

(617) 372-1744

Fax

(844) 908-2211

NPI assigned

Apr 3, 2020

Organization subpart

No

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

Authorized official

Name

Mansoor Al Ameri, PHD, PT, MPT

Title

Owner

Phone

(617) 372-1744

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1585872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1590019200000",
    "number": "1548899230",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "25003 STARR STR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "617-372-1744",
            "fax_number": "844-908-2211"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "25003 STARR STR",
            "city": "LOMA LINDA",
            "state": "CA",
            "postal_code": "92354",
            "telephone_number": "617-372-1744",
            "fax_number": "844-908-2211"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC PHYSICAL THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-04-03",
        "last_updated": "2020-05-21",
        "certification_date": "2020-05-21",
        "status": "A",
        "authorized_official_last_name": "AL AMERI",
        "authorized_official_first_name": "MANSOOR",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "617-372-1744",
        "authorized_official_credential": "PHD, PT, MPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Natasha Hogan, ASW
• Victor Francis Tamagna Hogen, M.D.
• Ryan Holas
• Jack Taylor Holcombe
• Jason Holden, R.D.
• Emily Ann Hollinghurst, PHARMD
• Rebecca Hollingsworth, LCSW
• Dakota Christine Hollister
• Trevor Keith Holloway, DDS
• G. Alden Holmes, MD

• Physical Therapist in Loma Linda, CA
• Providers in Loma Linda, CA by specialty
• Physical Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 21, 2020; 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.