Active NPI
Elizabeth Averett Holt, DPT
- Physical Therapist
- Pleasanton, CA
National Provider Identifier
1912259250
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 39422
- Practice address
- 5980 Stoneridge Dr
#100
Pleasanton, CA 94588-4518 - Phone
- (925) 847-8833
- NPI assigned
- Oct 10, 2012
- Last updated
- Mar 1, 2013
- Sex
- Female
- Sole proprietor
- Yes
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 | 39422 | CA | Primary |
Addresses
Primary practice location
5980 Stoneridge Dr
#100
Pleasanton, CA 94588-4518
Mailing address
1466 10TH Ave
Apt B
San Francisco, CA 94122-3603
Phone (831) 818-1147
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 39422 | CA | MD | Pharmacist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1349827200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1362096000000",
"number": "1912259250",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1466 10TH AVE",
"address_2": "APT B",
"city": "SAN FRANCISCO",
"state": "CA",
"postal_code": "941223603",
"telephone_number": "831-818-1147"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5980 STONERIDGE DR",
"address_2": "#100",
"city": "PLEASANTON",
"state": "CA",
"postal_code": "945884518",
"telephone_number": "925-847-8833"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "ELIZABETH",
"middle_name": "AVERETT",
"name_prefix": "Dr.",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2012-10-10",
"last_updated": "2013-03-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "39422",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Pleasanton, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.