Individual provider Active NPI

Holly N McClure, PT

  • Physical Therapist
  • Anchorage, AK
National Provider Identifier
1952478059
Registry record updated Feb 9, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Practice address
3831 Piper Street
Suite 220
Anchorage, AK 99508-4672
Phone
(907) 563-3145
Fax
(907) 561-0214
NPI assigned
Nov 30, 2006
Last updated
Feb 9, 2012By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2012

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 1783 AK
Physical Therapist 225100000X Primary

Addresses

Primary practice location

3831 Piper Street
Suite 220
Anchorage, AK 99508-4672

Mailing address

3831 Piper Street
Suite 220
Anchorage, AK 99508-4672
Phone (907) 563-3145

Other identifiers 1

IdentifierTypeStateIssuer
PT0017MedicaidAK

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

LicenseStateTypeSpecialty
1783AKMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Anchorage Fracture and Orthopaedic Clinic, PC Past Accepting new patients
Borealis Chiropractic Inc PastSince Dec 22, 2020 Accepting new patients
Anchorage Fracture and Orthopaedic Clinic, PC Past Accepting new patients

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1164844800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1328745600000",
    "number": "1952478059",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3831 PIPER STREET",
            "address_2": "SUITE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-563-3145",
            "fax_number": "907-561-0214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3831 PIPER STREET",
            "address_2": "SUITE 220",
            "city": "ANCHORAGE",
            "state": "AK",
            "postal_code": "995084672",
            "telephone_number": "907-563-3145",
            "fax_number": "907-561-0214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCCLURE",
        "first_name": "HOLLY",
        "middle_name": "N",
        "name_prefix": "Ms.",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-11-30",
        "last_updated": "2012-02-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AK",
            "license": "1783",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PT0017",
            "state": "AK"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Anchorage, AK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.