Holli Joy Stevens, P.T,, D.P.T.

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT011768 Issued in GA

Practice address

430 W Cherry St
Jesup, GA 31545-1435

Phone

(912) 256-5610

Fax

(912) 559-6346

NPI assigned

Jan 27, 2015

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Restore Physical Therapy LLCGroup PAC ID 7810247848, 7 clinicians

Practice addresses (Care Compare)

Merit-based Incentive Payment System (MIPS)

Final score

90.21 of 100Reported as individual

Quality

80.42

Improvement activities

40

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Restore Physical Therapy, LLC

  • Physical Therapist
  • Jesup, GA
  • NPI 1306331756
  Medicare reassignment Care Compare group NPD Authorized official
• Hospital Authority of Mitchell County

  • Critical Access Hospital
  • Camilla, GA
  • NPI 1700830247
  NPD (past)

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

{
    "created_epoch": "1422316800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1606780800000",
    "number": "1841680972",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "430 W CHERRY ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451435",
            "telephone_number": "912-256-5610",
            "fax_number": "912-559-6346"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "430 W CHERRY ST",
            "city": "JESUP",
            "state": "GA",
            "postal_code": "315451435",
            "telephone_number": "912-256-5610",
            "fax_number": "912-559-6346"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "STEVENS",
        "first_name": "HOLLI",
        "middle_name": "JOY",
        "name_prefix": "Dr.",
        "credential": "P.T,, D.P.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-01-27",
        "last_updated": "2020-12-01",
        "certification_date": "2020-12-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT011768",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jodi Cheree Spires, LPC
• Sports Medicine and Rehabilitative Therapy
• Stanley D. Jones, M.D.P.C.
• Stephen P Smith, M. D., P. C.
• Gary R Stern, MD
• Michelle Bianca Stevens
• Deborah Carol Stively, APRN
• Surgery Center of Bji, LLC
• Joanie Swanson, CCC-SLP
• Kathleen Deal Tatum, LCSW

• Physical Therapist in Jesup, GA
• Providers in Jesup, GA by specialty
• Physical Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 1, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.