Individual provider Active NPI

Anne Evelyn Holien, PT, DPT

  • Physical Therapist
  • Charlotte, NC
National Provider Identifier
1932792439
Registry record updated Sep 22, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
P20189 Issued in NC
Practice address
2100 N Davidson St Ste C
Charlotte, NC 28205-1828
Phone
(980) 556-7780
Fax
(980) 337-2777
NPI assigned
Feb 16, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 22, 2022

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X P20189 NC Primary
Physical Therapist 225100000X 10604 SC

Addresses

Primary practice location

2100 N Davidson St Ste C
Charlotte, NC 28205-1828

Mailing address

1311 Mamaroneck Ave Ste 140
White Plains, NY 10605-5224
Phone (914) 294-4050

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in NC, SC2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20210222001286 NC Practitioner - Physical Therapist in Private Practice 1052726247 Reassigns benefits to 1 organization
I20220929001951 SC Practitioner - Physical Therapist in Private Practice 1052726247 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2020
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Ivyrehab North Carolina LLCGroup PAC ID 8820336324, 158 clinicians

Practice addresses (Care Compare)

2100 N Davidson St
Suite C
Charlotte, NC 28205-1828
Phone (980) 556-7780

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Ivyrehab North Carolina LLC Physical Therapist CurrentSince Feb 4, 2021 Accepting new patients
Ivyrehab Focus, Inc. Physical Therapist CurrentSince Jun 18, 2022 Accepting new patients
Ivyrehab Focus, Inc. CurrentSince Jun 18, 2022 Accepting new patients
Ivyrehab North Carolina LLC CurrentSince Feb 4, 2021 Accepting new patients

Locations

5960 Fairview Rd
Ste 250
Charlotte, NC 28210
Phone (980) 224-7958

2100 N Davidson St
Ste C
Charlotte, NC 28205
Phone (980) 556-7780

9216 Ardrey Kell Rd
Ste 300
Charlotte, NC 28277
Phone (980) 556-7330

1377 Motor Pkwy
Ste 307
Ronkonkoma, NY 11749

1311 Mamaroneck Ave
Ste 140
White Plains, NY 10605
Phone (914) 265-4838

439 Channel Rd
Ste 102
Lake Wylie, SC 29710
Phone (619) 977-0480

1738 Celanese Rd
#102
Rock Hill, SC 29732
Phone (803) 670-3067

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": "1613433600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663804800000",
    "number": "1932792439",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1311 MAMARONECK AVE STE 140",
            "city": "WHITE PLAINS",
            "state": "NY",
            "postal_code": "106055224",
            "telephone_number": "914-294-4050",
            "fax_number": "631-760-8306"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2100 N DAVIDSON ST STE C",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282051828",
            "telephone_number": "980-556-7780",
            "fax_number": "980-337-2777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIEN",
        "first_name": "ANNE",
        "middle_name": "EVELYN",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-16",
        "last_updated": "2022-09-22",
        "certification_date": "2022-09-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NC",
            "license": "P20189",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "10604",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 22, 2022; 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.