Individual provider Active NPI

Pamela Gail Holmes, LPTA

  • Physical Therapy Assistant
  • Huntsville, AL
National Provider Identifier
1679378038
Registry record updated Feb 18, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy AssistantTaxonomy code 225200000X
License
PTA1507 Issued in AL
Practice address
1878 Jeff Rd NW Ste E
Huntsville, AL 35806-4261
Phone
(256) 945-7405
Fax
(256) 945-7549
NPI assigned
Feb 18, 2025
Last updated
Feb 18, 2025By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Feb 18, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Assistant 225200000X PTA1507 AL Primary

Addresses

Primary practice location

1878 Jeff Rd NW Ste E
Huntsville, AL 35806-4261

Mailing address

1878 Jeff Rd NW Ste E
Huntsville, AL 35806-4261
Phone (256) 945-7405

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
PTA1507ALMDPhysical Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Federal Injury Center of Huntsville CurrentSince Feb 23, 2025 Accepting new patients

Locations

1878 Jeff Rd NW
Ste E
Huntsville, AL 35806
Phone (256) 489-2704

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1739836800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1679378038",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1878 JEFF RD NW STE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064261",
            "telephone_number": "256-945-7405"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1878 JEFF RD NW STE E",
            "city": "HUNTSVILLE",
            "state": "AL",
            "postal_code": "358064261",
            "telephone_number": "256-945-7405",
            "fax_number": "256-945-7549"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "PAMELA",
        "middle_name": "GAIL",
        "name_prefix": "Mrs.",
        "credential": "LPTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2025-02-18",
        "last_updated": "2025-02-18",
        "certification_date": "2025-02-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AL",
            "license": "PTA1507",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Huntsville, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.