Individual provider Active NPI

Holly Marin, LPT

  • Physical Therapist
  • Dallas, TX
National Provider Identifier
1891942140
Registry record updated Jul 18, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
1183233 Issued in TX
Practice address
5445 Preston Oaks Rd
1425
Dallas, TX 75254-2418
Phone
(817) 501-6116
Fax
(214) 758-0201
NPI assigned
Aug 19, 2008
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 18, 2011

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 1183233 TX Primary

Addresses

Primary practice location

5445 Preston Oaks Rd
1425
Dallas, TX 75254-2418

Mailing address

5445 Preston Oaks Rd
1425
Dallas, TX 75254-2418
Phone (817) 501-6116

Other identifiers 1

IdentifierTypeStateIssuer
165348701MedicaidTX

Other names 1

  • Holly Rappleye Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190417001456 TX Practitioner - Physical Therapist in Private Practice 8224379326 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2008
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

11349 Alamo Ranch Pkwy
San Antonio, TX 78253-6485
Phone (210) 988-1298

5340 Towne Square Dr
Plano, TX 75024-2253
Phone (972) 597-4351

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
1183233TXMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 18, 2018 Accepting new patients
Healthpro Heritage Rehab & Fitness, LLC Physical Therapist CurrentSince Dec 18, 2018 Accepting new patients

Locations

536 Old Howell Rd
Greenville, SC 29615
Phone (877) 508-3237

265 Plateau Dr
McKinney, TX 75069
Phone (512) 277-6405

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1310947200000",
    "number": "1891942140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5445 PRESTON OAKS RD",
            "address_2": "1425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542418",
            "telephone_number": "817-501-6116",
            "fax_number": "214-758-0201"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5445 PRESTON OAKS RD",
            "address_2": "1425",
            "city": "DALLAS",
            "state": "TX",
            "postal_code": "752542418",
            "telephone_number": "817-501-6116",
            "fax_number": "214-758-0201"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARIN",
        "first_name": "HOLLY",
        "credential": "LPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2011-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TX",
            "license": "1183233",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "165348701",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "RAPPLEYE",
            "credential": "LPT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dallas, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2011; 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.