Active NPI
Anne Evelyn Holien, PT, DPT
- Physical Therapist
- Charlotte, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- P20189
- 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
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 |
|---|---|---|---|---|
| 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, SC
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ivyrehab North Carolina LLC | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Focus, Inc. | Physical Therapist | Current | Accepting new patients |
| Ivyrehab Focus, Inc. | Current | Accepting new patients | |
| Ivyrehab North Carolina LLC | Current | 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.
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1629568647
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Lake Wylie, SC
- NPI 1518105279
Physical Therapist
-
- Physical Medicine & Rehabilitation Physician
- Charlotte, NC
- NPI 1528683935
-
- Physical Medicine & Rehabilitation Physician
- Rock Hill, SC
- NPI 1902443880
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.