Holy Lifestyles Rehab and Wellness, LLC

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

Legal business name

HOLY LIFESTYLES REHAB AND WELLNESS, LLC

Practice address

5356 Hillside Ave
Indianapolis, IN 46220-3461

Phone

(317) 721-8079

Fax

(317) 732-7585

NPI assigned

Aug 3, 2018

Last updated

Sep 26, 2018By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Dr. Latisha Williams, PTNPI 1043483829

Title

Owner, Physical Therapist

Phone

(317) 721-8079

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Latisha Williams, DPT

  • Physical Therapist
  • Indianapolis, IN
  • NPI 1043483829
  Authorized official Same address or phone

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

{
    "created_epoch": "1533254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1537920000000",
    "number": "1639657463",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6923 BRETTON WOOD DR",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462682771",
            "telephone_number": "317-721-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5356 HILLSIDE AVE",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462203461",
            "telephone_number": "317-721-8079",
            "fax_number": "317-732-7585"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLY LIFESTYLES REHAB AND WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-08-03",
        "last_updated": "2018-09-26",
        "status": "A",
        "authorized_official_last_name": "WILLIAMS",
        "authorized_official_first_name": "LATISHA",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "317-721-8079",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Medicine & Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Worthe S Holt Jr., MD
• Bradley J Holtz, PT
• Laura J Holtz, PHARMD
• Kara Holtzclaw, LMHC
• Benjamin David Holtzlander
• Holy Spirit Personal Home Health Care LLC (Holy Spirit Personal Home Care LLC)
• Stephanie P Holz, M.D.
• Jennifer Holzman, PSYD, HSPP
• Home 2 Home Healthcare Services LLC
• Home 2 Home Homecare LLC

• Physical Medicine & Rehabilitation Physician in Indianapolis, IN
• Providers in Indianapolis, IN by specialty
• Physical Medicine & Rehabilitation Physician in Indiana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2018; 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.