William Edward Holl, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT005529L Issued in PA

Practice address

1413 W Moyamensing Ave
1St Floor
Philadelphia, PA 19145-4625

Phone

(267) 639-2555

Fax

(267) 639-2632

NPI assigned

May 12, 2006

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

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.

• Premier Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Philadelphia, PA
  • NPI 1619279825
  Medicare reassignment

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

{
    "created_epoch": "1147392000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1384387200000",
    "number": "1912957424",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "328 WHEATSHEAF LN",
            "city": "LANGHORNE",
            "state": "PA",
            "postal_code": "190471553",
            "telephone_number": "215-499-9807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1413 W MOYAMENSING AVE",
            "address_2": "1ST FLOOR",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191454625",
            "telephone_number": "267-639-2555",
            "fax_number": "267-639-2632"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLL",
        "first_name": "WILLIAM",
        "middle_name": "EDWARD",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-05-12",
        "last_updated": "2013-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT005529L",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "001517832 0003",
            "state": "PA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Holistic Family Services
• Holistic Psychotherapy & Research
• Holistic Therapeutic Arts LLC
• Holistix Outpatient Center
• Holistix Outpatient Center
• Fredricka Holland-Guy, LSW
• Amy Wharton Holland, MD, MA
• Mitchell Alexander Holland, ATC
• Nicole C Holland, CRNP
• Tai Christopher Holland, MD

• Physical Therapist in Philadelphia, PA
• Providers in Philadelphia, PA by specialty
• Physical Therapist in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2013; 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.