Blair A Holliday, MSPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT008864 Issued in GA

Practice address

4505 Ashford Dunwoody Rd NE Ste 13
Atlanta, GA 30346-1516

Phone

(770) 393-0111

NPI assigned

Aug 19, 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

Enrolled in GA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2006

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Form Physical Therapy LLCGroup PAC ID 0446595573, 5 clinicians

Practice addresses (Care Compare)

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.

• Form Physical Therapy LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1457840290
  Medicare reassignment Care Compare group NPD Authorized official
• Form Pelvic Health LLC

  • Physical Therapist
  • Roswell, GA
  • NPI 1962275479
  NPD Authorized official
• Oncore PT, Inc

  • Physical Therapist
  • Roswell, GA
  • NPI 1063766780
  NPD (past)
• Restore Physical Therapy and Wellness LLC

  • Physical Therapy Clinic/Center
  • Roswell, GA
  • NPI 1073816112

  Physical Therapist

  NPD (past)

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

{
    "created_epoch": "1282176000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1282694400000",
    "number": "1891001558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "255 OAKMERE DR",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093268",
            "telephone_number": "678-936-0821"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4505 ASHFORD DUNWOODY RD NE STE 13",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303461516",
            "telephone_number": "770-393-0111"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLIDAY",
        "first_name": "BLAIR",
        "middle_name": "A",
        "name_prefix": "Mrs.",
        "credential": "MSPT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-08-19",
        "last_updated": "2010-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "GA",
            "license": "PT008864",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julie R Hollberg, MD
• Blair Hsiao-Tin Holleman, MSW
• Steven M Hollenberg, MD
• Amanda Holley, DNP-FNP BC
• Jacqueline Holley
• Dean Holliday Jr., MD
• Joshua Holliday
• Jenny Hollingsworth, PHARMD
• Karen Hollingsworth, MD
• Rita Shavett Hollingsworth, DC

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2010; 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.