Active NPI
Holly Bernhold, DPT
- Orthopedic Physical Therapist
- Tipp City, OH
National Provider Identifier
1922530583
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- PT019757
- Practice address
- 727 Beechwood Dr
Tipp City, OH 45371-6802 - Phone
- (937) 272-8979
- NPI assigned
- Mar 31, 2017
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Social Worker | 104100000X | |||
| Orthopedic Physical Therapist | 2251X0800X | PT019757 | OH | Primary |
Addresses
Primary practice location
727 Beechwood Dr
Tipp City, OH 45371-6802
Mailing address
727 Beechwood Dr
Tipp City, OH 45371-6802
Phone (937) 272-8979
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| PT019757 | Other | OH | OTPTAT BOARD |
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 |
|---|---|---|---|
| PT019757 | OH | MD | Orthopedic Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1490918400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1652400000000",
"number": "1922530583",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "727 BEECHWOOD DR",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453716802",
"telephone_number": "937-272-8979"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "727 BEECHWOOD DR",
"city": "TIPP CITY",
"state": "OH",
"postal_code": "453716802",
"telephone_number": "937-272-8979"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BERNHOLD",
"first_name": "HOLLY",
"credential": "DPT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2017-03-31",
"last_updated": "2022-05-13",
"certification_date": "2022-05-13",
"status": "A"
},
"taxonomies": [
{
"code": "104100000X",
"taxonomy_group": "",
"desc": "Social Worker",
"state": null,
"license": null,
"primary": false
},
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "OH",
"license": "PT019757",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "OTPTAT BOARD",
"identifier": "PT019757",
"state": "OH"
}
],
"endpoints": [],
"other_names": []
}Other providers in Tipp City, OH
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 13, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.