Derrick Holt
Individual provider Active NPI Physical Therapy Assistant · Bee Caves, TX
NPI 1720675705 · NPPES record last updated Dec 24, 2020
Key facts
- NPI
- 1720675705
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- 2145541 (TX)
- Practice address
- 14058 Bee Cave Pkwy
Bee Caves, TX 78738-7071 - Phone
- (512) 872-8170
- NPI assigned
- Dec 24, 2020
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2145541 | TX | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | 2145541 | TX | Yes |
Addresses
Primary practice location
14058 Bee Cave Pkwy
Bee Caves, TX 78738-7071
Mailing address
9101 La Cresada Dr Apt 1823
Austin, TX 78749-4041
Phone (828) 337-1469
Other providers in Bee Caves, TX
- Stephanie Montoya Boothe
- Britney Dann
- Andrea Booker Gay
- Claire Heinlein
- Hill Country Pediatric Dentistry, PA
- Tammy A Morgan
- Chandler Morphew-Tarbuck
- Vanity Singleton
All providers in Bee Caves, TX · Physical Therapy Assistant in Texas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 24, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.