Richard James Holley

Primary specialty

Military Health Care ProviderTaxonomy code 171000000X

License

03635 Issued in MD

Practice address

1500 Forest Glen Rd
Physical Medicine and Rehab DPT
Silver Spring, MD 20910-1483

Phone

(301) 754-7340

Fax

(301) 754-7342

NPI assigned

Jun 17, 2006

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

Other names 1

• Richard James Holley Professional name

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": "1150502400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1227657600000",
    "number": "1790720407",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4104 LOMAR TER",
            "address_2": "GREENS AT MANORWOOD",
            "city": "MOUNT AIRY",
            "state": "MD",
            "postal_code": "217713909",
            "telephone_number": "301-829-6779",
            "fax_number": "301-754-7342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1500 FOREST GLEN RD",
            "address_2": "PHYSICAL MEDICINE AND REHAB DPT",
            "city": "SILVER SPRING",
            "state": "MD",
            "postal_code": "209101483",
            "telephone_number": "301-754-7340",
            "fax_number": "301-754-7342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "RICHARD",
        "middle_name": "JAMES",
        "name_prefix": "Mr.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-06-17",
        "last_updated": "2008-11-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171000000X",
            "taxonomy_group": "",
            "desc": "Military Health Care Provider",
            "state": "MD",
            "license": "03635",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RICHARD",
            "last_name": "HOLLEY",
            "middle_name": "JAMES",
            "credential": "OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

• Holistic Mental Wellness Center LLC
• India Holland
• Kristine Holland, LGPC
• Holley and Associates Inc.
• Leslie D Holley, LCPC, LPC
• Samantha Christine Holley, PA-C
• Ashli Holloway
• Briyana D Holloway
• Sylvi Holman, LPN
• Avaya Holmes

• Military Health Care Provider in Silver Spring, MD
• Providers in Silver Spring, MD by specialty
• Military Health Care Provider in Maryland

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 26, 2008; 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.