Holly Spence, PT, PRC

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

040.0002273 Issued in VT

Practice address

277 Blair Park Road
Suite 110
Williston, VT 05495

Phone

(802) 878-3600

Fax

(802) 879-3041

NPI assigned

Nov 16, 2006

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1163635200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1366070400000",
    "number": "1750454658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "277 BLAIR PARK ROAD",
            "address_2": "SUITE 110",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-878-3600",
            "fax_number": "802-879-3041"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "277 BLAIR PARK ROAD",
            "address_2": "SUITE 110",
            "city": "WILLISTON",
            "state": "VT",
            "postal_code": "05495",
            "telephone_number": "802-878-3600",
            "fax_number": "802-879-3041"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SPENCE",
        "first_name": "HOLLY",
        "name_prefix": "Ms.",
        "credential": "PT, PRC",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-16",
        "last_updated": "2013-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "0400002273",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "VT",
            "license": "040.0002273",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "0VW1931",
            "state": "VT"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "18709",
            "state": "VT"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Matthew Joseph Smith, DPT
• Amber Snow, APRN
• Emily Mei Snow, DPT
• Megan Speck, LCMHC
• Jessica Speckert, BCABA
• Sara St. Gelais, DPT, ATC
• Albert Leonard Stamand Jr., DDS,FAGD
• Tyler Stanworth
• State of Vermont Dept. of Finance and MGMT.
• Steff Stecklare, MA

• Physical Therapist in Williston, VT
• Providers in Williston, VT by specialty
• Physical Therapist in Vermont

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 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.

Verify at the official NPI Registry.