Individual provider Active NPI

Abigail Holland

  • Geriatric Physical Therapist
  • Columbus, OH
National Provider Identifier
1912554528
Registry record updated Aug 20, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Geriatric Physical TherapistTaxonomy code 2251G0304X
License
PT.012965 Issued in OH
Practice address
5700 Karl Rd
Columbus, OH 43229-3602
Phone
(614) 846-5420
NPI assigned
Aug 20, 2019
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 20, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Geriatric Physical Therapist 2251G0304X PT.012965 OH Primary

Addresses

Primary practice location

5700 Karl Rd
Columbus, OH 43229-3602

Mailing address

2232 Jarrow Dr
Hilliard, OH 43026-8732

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20240322003710 OH Practitioner - Physical Therapist in Private Practice 3678910841 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2010
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Outpatient at Home LLCGroup PAC ID 6204248784, 38 clinicians

Practice addresses (Care Compare)

965 High St
Worthington, OH 43085-4065
Phone (614) 784-0400

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
PT.012965OHMDGeriatric Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Outpatient at Home LLC Geriatrics CurrentSince Oct 30, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC Geriatrics CurrentSince Feb 1, 2024 Accepting new patients
Paragon Outpatient Rehabilitation Services, LLC CurrentSince Feb 1, 2024 Accepting new patients
Columbus Physical Therapy, LLC PastSince Oct 30, 2024 Accepting new patients

Locations

303 N Hurstbourne Pkwy
Ste 200
Louisville, KY 40222
Phone (502) 213-7572

2701 Chestnut Station Ct
Louisville, KY 40299
Phone (502) 964-5359

965 High St
Worthington, OH 43085
Phone (614) 327-2362

60 Paceline Cir
Xenia, OH 45385
Phone (937) 372-1530

Organizations & group practices 4

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": "1566259200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1566259200000",
    "number": "1912554528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2232 JARROW DR",
            "city": "HILLIARD",
            "state": "OH",
            "postal_code": "430268732"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5700 KARL RD",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293602",
            "telephone_number": "614-846-5420"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "ABIGAIL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-08-20",
        "last_updated": "2019-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "OH",
            "license": "PT.012965",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2019; 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.