Active NPI
Wendy Lynn Holmes, PTA
- Physical Therapy Assistant
- Fort Washington, PA
National Provider Identifier
1700210408
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- TE009873
- Practice address
- 735 Susquehanna Rd.
Fort Washington Estates
Fort Washington, PA 19034 - Phone
- (215) 542-8787
- NPI assigned
- Aug 29, 2013
- 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 Therapy Assistant | 225200000X | TE009873 | PA | Primary |
Addresses
Primary practice location
735 Susquehanna Rd.
Fort Washington Estates
Fort Washington, PA 19034
Mailing address
101 E. State St.
Genesis Health Care Corporation
Kennett Square, PA 19348
Phone (610) 444-6350
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
| License | State | Type | Specialty |
|---|---|---|---|
| TE009873 | PA | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1377734400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1377734400000",
"number": "1700210408",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 E. STATE ST.",
"address_2": "GENESIS HEALTH CARE CORPORATION",
"city": "KENNETT SQUARE",
"state": "PA",
"postal_code": "19348",
"telephone_number": "610-444-6350"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "735 SUSQUEHANNA RD.",
"address_2": "FORT WASHINGTON ESTATES",
"city": "FORT WASHINGTON",
"state": "PA",
"postal_code": "19034",
"telephone_number": "215-542-8787"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "WENDY",
"middle_name": "LYNN",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-08-29",
"last_updated": "2013-08-29",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "PA",
"license": "TE009873",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Washington, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.