Holly Moore Atkinson, MPT
Individual provider Active NPI Physical Therapist · Monroe, GA
NPI 1750650362 · NPPES record last updated Dec 28, 2011
Key facts
- NPI
- 1750650362
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- PT007311 (GA)
- Practice address
- 730 Clubside Dr
Monroe, GA 30655-2006 - Phone
- (404) 543-4300
- NPI assigned
- Dec 28, 2011
- Sex
- Female
- 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 |
|---|---|---|---|
| PT007311 | GA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT007311 | GA | Yes |
Addresses
Primary practice location
730 Clubside Dr
Monroe, GA 30655-2006
Mailing address
730 Clubside Dr
Monroe, GA 30655-2006
Other providers in Monroe, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 28, 2011. 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.