Individual provider Active NPI

Lynn Holihan, PT

  • Physical Therapist
  • Las Vegas, NV
National Provider Identifier
1962536938
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
0163 Issued in NV
Practice address
3675 Pecos McLeod
Suite 500
Las Vegas, NV 89121-3815
Phone
(702) 696-9229
Fax
(702) 696-1003
NPI assigned
Mar 14, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 0163 NV Primary

Addresses

Primary practice location

3675 Pecos McLeod
Suite 500
Las Vegas, NV 89121-3815

Mailing address

8933 Bracken Cliff CT
Las Vegas, NV 89129-3649
Phone (702) 243-7734

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
0163NVMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Creekside Home Health Care Past Accepting new patients

Organizations & group practices 1

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": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1962536938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8933 BRACKEN CLIFF CT",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891293649",
            "telephone_number": "702-243-7734",
            "fax_number": "702-243-7734"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3675 PECOS MCLEOD",
            "address_2": "SUITE 500",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891213815",
            "telephone_number": "702-696-9229",
            "fax_number": "702-696-1003"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLIHAN",
        "first_name": "LYNN",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NV",
            "license": "0163",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.