Paul D Holland, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT2442 Issued in FL

Practice address

752 W Plymouth Ave
Deland, FL 32720-3282

Phone

(386) 734-1136

Fax

(386) 734-2262

NPI assigned

May 23, 2005

Last updated

Aug 4, 2009By the provider in NPPES

Sex

Male

Sole proprietor

No

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)

Enrolled

State licenses

Practice roles

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.

• Northside Physical Therapy and Rehabilitation, Inc

  • Physical Therapist
  • Deland, FL
  • NPI 1316178783
  Authorized official Same address or phone
• University Rehabilitation, LLC

  dba Premier Physical Therapy and Sports Medicine

  • Physical Therapist
  • Port Orange, FL
  • NPI 1811185291
  NPD (past)

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

{
    "created_epoch": "1116806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1249344000000",
    "number": "1689677858",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "752 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-1136",
            "fax_number": "386-734-2262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "752 W PLYMOUTH AVE",
            "city": "DELAND",
            "state": "FL",
            "postal_code": "327203282",
            "telephone_number": "386-734-1136",
            "fax_number": "386-734-2262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "PAUL",
        "middle_name": "D",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-05-23",
        "last_updated": "2009-08-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT2442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "880954200",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Kelsey Hoblick, PA-C
• Nicole Hodges, DC
• Katie Jo Hoehn, PHARM.D.
• Holiday CVS LLC (CVS Pharmacy 00214)
• Holiday CVS LLC (CVS Pharmacy 03673)
• Mark W Hollmann, MD
• Michele Ashley Holloway, BA, LMT
• Hometown Hearing Centers
• Hometown Hearing Corp
• Mary Lane Hood, CRNA

• Physical Therapist in Deland, FL
• Providers in Deland, FL by specialty
• Physical Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 4, 2009; 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.