Active NPI
Sondra Louise Holmes, PT
- Physical Therapist
- Waymart, PA
National Provider Identifier
1891917530
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT005892-L
- Practice address
- 476 Belmont St
Waymart, PA 18472-9304 - Phone
- (570) 488-5100
- Fax
- (570) 488-7154
- NPI assigned
- May 3, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | PT005892-L | PA | Primary |
Addresses
Primary practice location
476 Belmont St
Waymart, PA 18472-9304
Mailing address
RR 4 Box 4168
Dalton, PA 18414-9741
Phone (570) 222-4629
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2299030 | Other | PW | AETNA |
| 808619 | Other | PA | FIRST PRIORITY HEALTH |
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
| License | State | Type | Specialty |
|---|---|---|---|
| PT005892-L | PA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1178150400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1891917530",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "RR 4 BOX 4168",
"city": "DALTON",
"state": "PA",
"postal_code": "184149741",
"telephone_number": "570-222-4629",
"fax_number": "570-488-7154"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "476 BELMONT ST",
"city": "WAYMART",
"state": "PA",
"postal_code": "184729304",
"telephone_number": "570-488-5100",
"fax_number": "570-488-7154"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "SONDRA",
"middle_name": "LOUISE",
"name_prefix": "Mrs.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-03",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "PA",
"license": "PT005892-L",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AETNA",
"identifier": "2299030",
"state": "PW"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "FIRST PRIORITY HEALTH",
"identifier": "808619",
"state": "PA"
}
],
"endpoints": [],
"other_names": []
}Other providers in Waymart, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.