Active NPI
Alice Jean Holinger, PT
- Physical Therapist
- Wasilla, AK
National Provider Identifier
1700907367
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 82
- Practice address
- 3750 E Country Field Cir
#A
Wasilla, AK 99654-6689 - Phone
- (907) 376-7334
- Fax
- (907) 373-9124
- NPI assigned
- Apr 2, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | 82 | AK | Primary |
Addresses
Primary practice location
3750 E Country Field Cir
#A
Wasilla, AK 99654-6689
Mailing address
3761 Palmdale Dr
Wasilla, AK 99654-6611
Phone (907) 376-2340
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT0082 | Medicaid | AK |
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 |
|---|---|---|---|
| 82 | AK | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1175472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1700907367",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3761 PALMDALE DR",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546611",
"telephone_number": "907-376-2340",
"fax_number": "907-373-9124"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3750 E COUNTRY FIELD CIR",
"address_2": "#A",
"city": "WASILLA",
"state": "AK",
"postal_code": "996546689",
"telephone_number": "907-376-7334",
"fax_number": "907-373-9124"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLINGER",
"first_name": "ALICE",
"middle_name": "JEAN",
"credential": "PT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-02",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AK",
"license": "82",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "PT0082",
"state": "AK"
}
],
"endpoints": [],
"other_names": []
}Other providers in Wasilla, AK
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.