Active NPI
Brandi R Holtsclaw
- Physical Therapist
- Forest City, NC
National Provider Identifier
1770804643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12389
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 12389 | NC | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New 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.
-
- Rehabilitation Clinic/Center
- Forest City, NC
- NPI 1023199668
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.