Individual provider Active NPI

Lawrence A. Holmes, PT, CHT

  • Hand Physical Therapist
  • Chattanooga, TN
National Provider Identifier
1699737106
Registry record updated Jan 11, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Hand Physical TherapistTaxonomy code 2251H1200X
License
0000009817 Issued in TN
Practice address
5779 Brainerd Rd
Chattanooga, TN 37411-4011
Phone
(423) 800-7500
NPI assigned
Apr 3, 2006
Last updated
Jan 11, 2019By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 11, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Hand Physical Therapist 2251H1200X PT013817 GA
Hand Physical Therapist 2251H1200X 0000009817 TN Primary

Addresses

Primary practice location

5779 Brainerd Rd
Chattanooga, TN 37411-4011

Mailing address

5779 Brainerd Rd
Chattanooga, TN 37411-4011
Phone (423) 800-7500

Other practice location 1

97 Gateway Business Park Dr
Ringgold, GA 30736-7395
Phone (706) 937-5771

Other identifiers 1

IdentifierTypeStateIssuer
000000477214OtherKYBCBS FACET #

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TN, GA2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20180905003971 TN Practitioner - Physical Therapist in Private Practice 5991699092 Reassigns benefits to 2 organizations
I20190306002764 GA Practitioner - Physical Therapist in Private Practice 5991699092 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Tennessee, HSC, College of Medicine, 1999
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
MCM Rehabilitation LLCGroup PAC ID 5294798336, 58 clinicians
Agilitas USA, IncGroup PAC ID 3375454648, 812 clinicians

Practice addresses (Care Compare)

2125 Northpoint Blvd
Hixson, TN 37343-4072
Phone (423) 875-3367

502 N Market St
Suite 102
Chattanooga, TN 37405-4438
Phone (423) 664-1070

97 Gateway Business Park Dr
Ringgold, GA 30736-7395
Phone (706) 937-5771

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled
HHS exclusion list flag
CMS’s directory marks this NPI as on an HHS exclusion list; no matching OIG record was found. The OIG exclusions file (LEIE) holds no record for this NPI, and the directory does not say which list the flag comes from. How exclusions are shown Confirm with the OIG exclusions search.

State licenses

LicenseStateTypeSpecialty
3860KYMDClinical Social Worker
9817TNMDDentist
0000009817TNMDHand Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Agilitas USA, Inc Hand CurrentSince Sep 27, 2023 Accepting new patients
MCM Rehabilitation, LLC. Hand CurrentSince Feb 1, 2018 Accepting new patients
MCM Rehabilitation LLC CurrentSince Feb 1, 2018 Accepting new patients
Agilitas USA Inc Hand CurrentSince Sep 27, 2023 Accepting new patients
Owensboro Medical Practice, PLLC Past Accepting new patients

Locations

1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568

97 Gateway Business Park Dr
Ringgold, GA 30736
Phone (706) 937-5771

790 Remington Blvd
Bolingbrook, IL 60440

4947 Payshere Cir
Chicago, IL 60674

4947 Paysphere Cr
Chicago, IL 60674

1630 McCallie Ave
Chattanooga, TN 37404
Phone (423) 698-5590

502 N Market St
Ste 102
Chattanooga, TN 37405
Phone (423) 634-1922

2125 Northpoint Blvd
Hixson, TN 37343
Phone (423) 875-3367

3493 Veterans Dr N
Ste D
Huntingdon, TN 38344
Phone (731) 209-4444

5220 Park Ave
Ste 201
Memphis, TN 38119
Phone (901) 683-9630

Organizations & group practices 5

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": "1144022400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1547164800000",
    "number": "1699737106",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5779 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114011",
            "telephone_number": "423-800-7500"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5779 BRAINERD RD",
            "city": "CHATTANOOGA",
            "state": "TN",
            "postal_code": "374114011",
            "telephone_number": "423-800-7500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "97 Gateway Business Park Dr",
            "address_purpose": "LOCATION",
            "city": "Ringgold",
            "state": "GA",
            "postal_code": "307367395",
            "country_code": "US",
            "telephone_number": "706-937-5771",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "LAWRENCE",
        "middle_name": "A.",
        "credential": "PT, CHT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-03",
        "last_updated": "2019-01-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "GA",
            "license": "PT013817",
            "primary": false
        },
        {
            "code": "2251H1200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Hand",
            "state": "TN",
            "license": "0000009817",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS FACET #",
            "identifier": "000000477214",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Chattanooga, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.