Individual provider Active NPI

Holly L Panas, ATC, LAT

  • Athletic Trainer
  • Orlando, FL
National Provider Identifier
1801853213
Registry record updated Jul 13, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Athletic TrainerTaxonomy code 2255A2300X
License
AL 283 Issued in FL
Practice address
1101 Bear Crossing Dr
Orlando, FL 32824-6004
Phone
(407) 852-3400
Fax
(407) 852-3469
NPI assigned
Apr 28, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 13, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Athletic Trainer 2255A2300X AL 283 FL Primary

Addresses

Primary practice location

1101 Bear Crossing Dr
Orlando, FL 32824-6004

Mailing address

8480 Barnstable PL
Orlando, FL 32827-4946
Phone (407) 812-9396

Other identifiers 2

IdentifierTypeStateIssuer
881038OtherFLNATA MEMBER NUMBER
AL 283OtherFLSTATE OF FL LICENSURE

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
AL 283FLMDAthletic Trainer

NPI Registry JSON

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

{
    "created_epoch": "1146182400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1783900800000",
    "number": "1801853213",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8480 BARNSTABLE PL",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328274946",
            "telephone_number": "407-812-9396",
            "fax_number": "407-852-3469"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1101 BEAR CROSSING DR",
            "city": "ORLANDO",
            "state": "FL",
            "postal_code": "328246004",
            "telephone_number": "407-852-3400",
            "fax_number": "407-852-3469"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PANAS",
        "first_name": "HOLLY",
        "middle_name": "L",
        "name_prefix": "Ms.",
        "credential": "ATC, LAT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-28",
        "last_updated": "2026-07-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": "FL",
            "license": "AL 283",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NATA MEMBER NUMBER",
            "identifier": "881038",
            "state": "FL"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE OF FL  LICENSURE",
            "identifier": "AL 283",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Orlando, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; 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.