Sharon K. Holy, P.T.

Primary specialty

Geriatric Physical TherapistTaxonomy code 2251G0304X

License

2281-024 Issued in WI

Practice address

1351 Wisconsin River Dr
Port Edwards, WI 54469-1041

Phone

(715) 885-8300

Fax

(715) 885-8350

NPI assigned

Nov 12, 2007

Last updated

Nov 12, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1194825600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1194825600000",
    "number": "1649450222",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1351 WISCONSIN RIVER DR",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691041",
            "telephone_number": "715-885-8300",
            "fax_number": "715-885-8350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1351 WISCONSIN RIVER DR",
            "city": "PORT EDWARDS",
            "state": "WI",
            "postal_code": "544691041",
            "telephone_number": "715-885-8300",
            "fax_number": "715-885-8350"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLY",
        "first_name": "SHARON",
        "middle_name": "K.",
        "name_prefix": "Mrs.",
        "credential": "P.T.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-11-12",
        "last_updated": "2007-11-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "WI",
            "license": "2281-024",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40155200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer Ayres
• Michael Lynn Bernarde, PTA
• County of Wood (Edgewater Haven Nursing Home)
• John G Cronkrite, DDS
• John E Alexander South Wood County Young Men's Christian Association
• Sidrah Amhed Khan
• Charlene M Marshall
• Kali Mayek
• Mind and Medical Wellness LLC

• Geriatric Physical Therapist in Port Edwards, WI
• Providers in Port Edwards, WI by specialty
• Geriatric Physical Therapist in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 2007; 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.