Individual provider Active NPI

Holly Marie Huntsman, PT

  • Physical Therapist
  • Lincoln, NE
National Provider Identifier
1902531585
Registry record updated Jul 19, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
5876 Issued in MN
Practice address
5601 S 84TH St
Lincoln, NE 68516-4405
Phone
(402) 483-0250
NPI assigned
Jul 19, 2022
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2022

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 5876 MN Primary

Addresses

Primary practice location

5601 S 84TH St
Lincoln, NE 68516-4405

Mailing address

PO Box 1806
Durham, NC 27702-1806

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230522000129 NE Practitioner - Physical Therapist in Private Practice 4688030455 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5876MNMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Physical Therapist CurrentSince Apr 15, 2023 Accepting new patients
Adaptive Rehabilitation Clinics, LLC Physical Therapist PastSince Jul 24, 2022 Accepting new patients
Pando Geriatric Counseling, PC Past Accepting new patients

Locations

5601 S 84th St
Lincoln, NE 68516
Phone (402) 480-0250

6991 S 178th Plz
Omaha, NE 68136
Phone (402) 819-0669

4801 N 52nd St
Omaha, NE 68104
Phone (402) 557-6860

Organizations & group practices 3

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": "1658188800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658188800000",
    "number": "1902531585",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1806",
            "city": "DURHAM",
            "state": "NC",
            "postal_code": "277021806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5601 S 84TH ST",
            "city": "LINCOLN",
            "state": "NE",
            "postal_code": "685164405",
            "telephone_number": "402-483-0250"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HUNTSMAN",
        "first_name": "HOLLY",
        "middle_name": "MARIE",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-07-19",
        "last_updated": "2022-07-19",
        "certification_date": "2022-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MN",
            "license": "5876",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lincoln, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.