Active NPI
Cameron James Holshouser, PT, DPT
- Physical Therapist
- Glendale, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- LPT-033461
- Practice address
- 18561 N 59TH Ave Ste 117
Glendale, AZ 85308-1256 - Phone
- (602) 313-4089
- NPI assigned
- Sep 9, 2019
- Sex
- Male
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 2305211907 | VA | |
| Physical Therapist | 225100000X | LPT-033461 | AZ | Primary |
Addresses
Primary practice location
18561 N 59TH Ave Ste 117
Glendale, AZ 85308-1256
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (866) 370-8206
Other practice location 1
1014 Clement St
Radford, VA 24141-2614
Phone (540) 605-9957
Other practice location 2
200 Patewood Dr Ste C150
Greenville, SC 29615-6323
Phone (864) 454-0904
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12060 | SC | MD | Pharmacist |
| LPT-033461 | AZ | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ati Holdings of Arizona, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Tidewater Physical Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Greenville Proaxis Therapy LLC | Current | Accepting new patients | |
| Greenville Proaxis Therapy, LLC | Physical Therapist | Current | Accepting new patients |
| Ideal Rehabilitation LLC | Past | Accepting new patients | |
| Prisma Health University Medical Group | Past | Accepting new patients |
Locations
1485 E Florence Blvd
Ste 105
Casa Grande, AZ 85122
Phone (520) 494-3058
18561 N 59th Ave
Ste 117
Glendale, AZ 85308
Phone (602) 313-4089
11209 N Tatum Blvd
Ste B120
Phoenix, AZ 85028
Phone (602) 595-0204
1020 S Harrison Rd
Unit 120
Tucson, AZ 85748
Phone (520) 207-6288
790 Remington Blvd
Bolingbrook, IL 60440
33205 Collection Ctr Dr
Chicago, IL 60693
350 New Fidelity Ct
Garner, NC 27529
Phone (919) 373-2919
103 N Main St
Ste 201
Greenville, SC 29601
Phone (864) 528-5753
200 Patewood Dr
Ste C150
Greenville, SC 29615
Phone (864) 454-0904
10128 W Broad St
Bldg Iii
Glen Allen, VA 23060
Phone (804) 217-9210
12494 Warwick Blvd
Newport News, VA 23606
Phone (804) 217-9210
2033 Colonial Ave SW
Ste 138
Roanoke, VA 24015
Phone (540) 466-3981
Organizations & group practices 7
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.
-
dba ATI Physical Therapy
- Durable Medical Equipment & Medical Supplies
- Greenville, SC
- NPI 1740052000
-
dba ATI Physical Therapy of Greenville
- Physical Therapist
- Greenville, SC
- NPI 1669457859
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Roanoke, VA
- NPI 1437664356
-
dba Pivot Physical Therapy of Virginia
- Physical Therapist
- Glen Allen, VA
- NPI 1457389595
-
- Durable Medical Equipment & Medical Supplies
- Tucson, AZ
- NPI 1831353614
-
- Family Medicine Physician
- Greenville, SC
- NPI 1295763217
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1567987200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722902400000",
"number": "1942859343",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "866-370-8206",
"fax_number": "517-435-3670"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "18561 N 59TH AVE STE 117",
"city": "GLENDALE",
"state": "AZ",
"postal_code": "853081256",
"telephone_number": "602-313-4089"
}
],
"practiceLocations": [
{
"address_1": "1014 Clement St",
"address_purpose": "LOCATION",
"city": "Radford",
"state": "VA",
"postal_code": "241412614",
"country_code": "US",
"telephone_number": "540-605-9957",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "200 Patewood Dr Ste C150",
"address_purpose": "LOCATION",
"city": "Greenville",
"state": "SC",
"postal_code": "296156323",
"country_code": "US",
"telephone_number": "864-454-0904",
"fax_number": "864-454-0905",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLSHOUSER",
"first_name": "CAMERON",
"middle_name": "JAMES",
"credential": "PT, DPT",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2019-09-09",
"last_updated": "2024-08-06",
"certification_date": "2024-08-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "VA",
"license": "2305211907",
"primary": false
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AZ",
"license": "LPT-033461",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Glendale, AZ
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.