Individual provider Active NPI

Cami H. Holdinga, P.T.

  • Physical Therapist
  • Marathon, FL
National Provider Identifier
1609932094
Registry record updated Sep 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT17719 Issued in FL
Practice address
13365 Overseas Hwy
Suite # 103
Marathon, FL 33050-3513
Phone
(305) 289-0707
Fax
(305) 289-0706
NPI assigned
Dec 29, 2006
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 16, 2010

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 PT17719 FL Primary

Addresses

Primary practice location

13365 Overseas Hwy
Suite # 103
Marathon, FL 33050-3513

Mailing address

880 91St Court Ocean
Marathon, FL 33050-5251
Phone (305) 304-6203

Other identifiers 1

IdentifierTypeStateIssuer
889716600MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20101103000836 FL Practitioner - Physical Therapist in Private Practice 6103010160 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1998
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Physical Therapy Center, Inc.Group PAC ID 0840484895, 3 clinicians

Practice addresses (Care Compare)

13365 Overseas Hwy
Suite 103
Marathon, FL 33050-3513
Phone (305) 289-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT17719FLMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Island Physical Therapy Center, Inc. Physical Therapist CurrentSince Sep 1, 2010 Accepting new patients

Locations

13365 Overseas Hwy
Ste 103
Marathon, FL 33050
Phone (305) 289-0707

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1284595200000",
    "number": "1609932094",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "880 91ST COURT OCEAN",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330505251",
            "telephone_number": "305-304-6203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13365 OVERSEAS HWY",
            "address_2": "SUITE # 103",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330503513",
            "telephone_number": "305-289-0707",
            "fax_number": "305-289-0706"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDINGA",
        "first_name": "CAMI",
        "middle_name": "H.",
        "name_prefix": "Ms.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-12-29",
        "last_updated": "2010-09-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT17719",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "889716600",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • 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.