Individual provider Active NPI

Brandi R Holtsclaw

  • Physical Therapist
  • Forest City, NC
National Provider Identifier
1770804643
Registry record updated Jun 15, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
12389 Issued in NC
Practice address
2270 US Hwy 74a Suite 341
Onesource Rehab
Forest City, NC 28043
Phone
(828) 247-1588
Fax
(828) 247-1692
NPI assigned
Jun 15, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2010

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 12389 NC Primary

Addresses

Primary practice location

2270 US Hwy 74a Suite 341
Onesource Rehab
Forest City, NC 28043

Mailing address

2270 US Hwy 74a Suite 341
Onesource Rehab
Forest City, NC 28043
Phone (828) 247-1588

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
12389NCMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rutherford Hospital Inc. Past Accepting new patients

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1276560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1276560000000",
    "number": "1770804643",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2270 US HWY 74A SUITE 341",
            "address_2": "ONESOURCE REHAB",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "28043",
            "telephone_number": "828-247-1588",
            "fax_number": "828-247-1692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2270 US HWY 74A SUITE 341",
            "address_2": "ONESOURCE REHAB",
            "city": "FOREST CITY",
            "state": "NC",
            "postal_code": "28043",
            "telephone_number": "828-247-1588",
            "fax_number": "828-247-1692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTSCLAW",
        "first_name": "BRANDI",
        "middle_name": "R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-06-15",
        "last_updated": "2010-06-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "12389",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forest City, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2010; 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.