Active NPI
Michael Holland, PT
- Physical Therapist
- Barstow, CA
National Provider Identifier
1912297136
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT37111
- Practice address
- 1815 E Main St
Barstow, CA 92311-3234 - Phone
- (760) 256-2800
- Fax
- (760) 256-2809
- NPI assigned
- Apr 8, 2011
- Sex
- Male
- 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 | PT37111 | CA | Primary |
Addresses
Primary practice location
1815 E Main St
Barstow, CA 92311-3234
Mailing address
1758 N Main St
Salinas, CA 93906-5103
Phone (831) 442-3700
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 |
|---|---|---|---|
| PT37111 | CA | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1302220800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1302825600000",
"number": "1912297136",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1758 N MAIN ST",
"city": "SALINAS",
"state": "CA",
"postal_code": "939065103",
"telephone_number": "831-442-3700",
"fax_number": "831-612-9549"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1815 E MAIN ST",
"city": "BARSTOW",
"state": "CA",
"postal_code": "923113234",
"telephone_number": "760-256-2800",
"fax_number": "760-256-2809"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "MICHAEL",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2011-04-08",
"last_updated": "2011-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CA",
"license": "PT37111",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Barstow, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.