Active NPI
Nicole Lynn Spafford Holian, DPT
- Physical Therapist
- Kettering, OH
National Provider Identifier
1689841330
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT010888
- Practice address
- 1150 W Dorothy LN
Kettering, OH 45409-1305 - Phone
- (937) 231-5360
- NPI assigned
- May 13, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT010888 | OH | Primary |
Addresses
Primary practice location
1150 W Dorothy LN
Kettering, OH 45409-1305
Mailing address
4373 Wood Thrush CT
Miamisburg, OH 45342-0853
Phone (937) 231-5360
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PT010888 | OH | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1210636800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1210636800000",
"number": "1689841330",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4373 WOOD THRUSH CT",
"city": "MIAMISBURG",
"state": "OH",
"postal_code": "453420853",
"telephone_number": "937-231-5360"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1150 W DOROTHY LN",
"city": "KETTERING",
"state": "OH",
"postal_code": "454091305",
"telephone_number": "937-231-5360"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLIAN",
"first_name": "NICOLE",
"middle_name": "LYNN SPAFFORD",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-05-13",
"last_updated": "2008-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OH",
"license": "PT010888",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kettering, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.