Blue Anchor Physical Therapy PLLC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Legal business name

BLUE ANCHOR PHYSICAL THERAPY PLLC

Practice address

9445 Alder Dr
King George, VA 22485-4159

Phone

(904) 717-1124

NPI assigned

Sep 9, 2021

Last updated

Sep 9, 2021By 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

Katherine E Holliday, DPTNPI 1730505611

Title

Owner, Physical Therapist

Phone

(540) 419-9987

Specialties & licenses 2

Addresses

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.

• Katherine E Holliday, DPT

  • Physical Therapist
  • King George, VA
  • NPI 1730505611
  NPD Authorized official

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

{
    "created_epoch": "1631145600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1631145600000",
    "number": "1639848989",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 858",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224850858",
            "telephone_number": "540-419-9987"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9445 ALDER DR",
            "city": "KING GEORGE",
            "state": "VA",
            "postal_code": "224854159",
            "telephone_number": "904-717-1124"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BLUE ANCHOR PHYSICAL THERAPY PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-09",
        "last_updated": "2021-09-09",
        "certification_date": "2021-09-09",
        "status": "A",
        "authorized_official_last_name": "HOLLIDAY",
        "authorized_official_first_name": "KATHERINE",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER, PHYSICAL THERAPIST",
        "authorized_official_telephone_number": "540-419-9987",
        "authorized_official_credential": "DPT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Erika Berdeguez, AGACNP
• Julianne Bergeria, DPT
• Samantha Bernsteel
• Beverly Jean Bethea, RN
• Bio-Medical Applications of Virginia, Inc. (Fresenius Medical Care King George)
• Holly Blum, NP
• Brittney Bolin, CFNC, CNC, WLS, BCS
• Lauren Boyle, RDN
• Selena Branson
• Stacia Anne Brooks, RDH

• Physical Therapist in King George, VA
• Providers in King George, VA by specialty
• Physical Therapist in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2021; 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.