Derrick Holt

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

2145541 Issued in TX

Practice address

14058 Bee Cave Pkwy
Bee Caves, TX 78738-7071

Phone

(512) 872-8170

NPI assigned

Dec 24, 2020

Last updated

Dec 24, 2020By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1608768000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1608768000000",
    "number": "1720675705",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9101 LA CRESADA DR APT 1823",
            "city": "AUSTIN",
            "state": "TX",
            "postal_code": "787494041",
            "telephone_number": "828-337-1469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14058 BEE CAVE PKWY",
            "city": "BEE CAVES",
            "state": "TX",
            "postal_code": "787387071",
            "telephone_number": "512-872-8170"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "DERRICK",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2020-12-24",
        "last_updated": "2020-12-24",
        "certification_date": "2020-12-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "TX",
            "license": "2145541",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Stephanie Montoya Boothe, FNP
• Britney Dann, PA-C
• Andrea Booker Gay, L.M.T.
• Claire Heinlein, AUD
• Hill Country Pediatric Dentistry, PA
• Tammy A Morgan, PA
• Chandler Morphew-Tarbuck
• Vanity Singleton

• Physical Therapy Assistant in Bee Caves, TX
• Providers in Bee Caves, TX by specialty
• Physical Therapy Assistant in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 24, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.