Beverly Gene Holmes

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

4QB00048100 Issued in NJ

Practice address

536 Ridge Rd
Cedar Grove, NJ 07009-1611

Phone

(973) 239-9300

NPI assigned

Dec 22, 2010

Sex

Female

Sole proprietor

Yes

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

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": "1292976000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1292976000000",
    "number": "1881998417",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "376 HAWTHORNE ST",
            "city": "ORANGE",
            "state": "NJ",
            "postal_code": "070502831",
            "telephone_number": "973-677-3007"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "536 RIDGE RD",
            "city": "CEDAR GROVE",
            "state": "NJ",
            "postal_code": "070091611",
            "telephone_number": "973-239-9300"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "BEVERLY",
        "middle_name": "GENE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-12-22",
        "last_updated": "2010-12-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "NJ",
            "license": "4QB00048100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Health Resources of Cedar Grove Inc
• Danielle Helder, LPC, LCADC
• Herrmann Rnfa LLC
• Nicole Hessian, OTR
• Kimberly Hogan, OTR/L
• Holsman Physical Therapy and Wellness PC
• Ava Benedita Hostetler, MS, OTR/L
• John T Howard, OTR
• Michael Patrick Hughes, MD
• Jamila Hughley, LCSW

• Physical Therapy Assistant in Cedar Grove, NJ
• Providers in Cedar Grove, NJ by specialty
• Physical Therapy Assistant in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 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.