Holistic Occupational and Physical Therapy LLC

Primary specialty

Physical Therapy Clinic/CenterTaxonomy code 261QP2000X

License

OT004692 Issued in GA

Legal business name

HOLISTIC OCCUPATIONAL AND PHYSICAL THERAPY LLC

Practice address

5835 Campbelton Rd.
Ste. 304
Atlanta, GA 30331-7491

Phone

(404) 458-6139

Fax

(678) 550-9066

NPI assigned

Sep 8, 2015

Last updated

May 7, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Keitoria Lacount, OTR/LNPI 1356561096

Title

Office Manager

Phone

(404) 458-6139

Specialties & licenses 1

Addresses

Other names 1

• Holistic Occupational and Physical Therapy LLC Former legal business name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Locations

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Keitoria Raychelle Lacount

  • Occupational Therapist
  • Burlington, NJ
  • NPI 1356561096

  GA

  Medicare reassignment Care Compare group NPD Authorized official
• Odell Anderson Jr., PT

  • Physical Therapist
  • Fayetteville, GA
  • NPI 1710549423
  Medicare reassignment Care Compare group NPD
• Chanda Henning-Cole

  • Physical Therapist
  • Stockbridge, GA
  • NPI 1316392681
  Medicare reassignment Care Compare group NPD
• David Sahid Gunn, P.T.

  • Physical Therapist
  • Stockbridge, GA
  • NPI 1043493513
  Medicare reassignment Care Compare group
• Jennifer Paige Gonzalez, PTA

  • Physical Therapy Assistant
  • Atlanta, GA
  • NPI 1285154344
  NPD (past)

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

{
    "created_epoch": "1441670400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1620345600000",
    "number": "1952779043",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELTON RD.",
            "address_2": "STE. 304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317491",
            "telephone_number": "404-458-6139",
            "fax_number": "678-550-9066"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5835 CAMPBELTON RD.",
            "address_2": "STE. 304",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303317491",
            "telephone_number": "404-458-6139",
            "fax_number": "678-550-9066"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC OCCUPATIONAL AND PHYSICAL THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-09-08",
        "last_updated": "2021-05-07",
        "certification_date": "2021-05-07",
        "status": "A",
        "authorized_official_last_name": "LACOUNT",
        "authorized_official_first_name": "KEITORIA",
        "authorized_official_title_or_position": "OFFICE MANAGER",
        "authorized_official_telephone_number": "404-458-6139",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "GA",
            "license": "OT004692",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Holistic Occupational and Physical Therapy LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Demetrius Denise Holiday, PNP
• Holistic Family Psychiatry (Holistic Family Psychiatry LLC)
• Holistic Harbor Psychotherapy and Wellness, Inc.
• Holistic Haven Counseling LLC
• Holistic Health and Community Services Inc
• Holistic Speech and Feeding Therapy
• Holistic Therapeutic Counseling, LLC
• Holisticare South LLC
• Jennifer Samples Holl, M.D.
• Nadya Hollahan, PH.D.

• Physical Therapy Clinic/Center in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Physical Therapy Clinic/Center in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.