Active NPI
Jay William Holliday, RKT
- Kinesiotherapist
- Tuscaloosa, AL
National Provider Identifier
1962745000
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Kinesiotherapist
- License
- 1689
- Practice address
- 3707 Loop Rd.
Tuscaloosa VA Medical Center
Tuscaloosa, AL 35404 - Phone
- (205) 554-2822
- Fax
- (205) 554-2894
- NPI assigned
- Mar 27, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Kinesiotherapist | 226300000X | 1689 | Primary |
Addresses
Primary practice location
3707 Loop Rd.
Tuscaloosa VA Medical Center
Tuscaloosa, AL 35404
Mailing address
3707 Loop Rd.
Tuscaloosa VA Medical Center
Tuscaloosa, AL 35404
Phone (205) 554-2822
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1364342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1364342400000",
"number": "1962745000",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3707 LOOP RD.",
"address_2": "TUSCALOOSA VA MEDICAL CENTER",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35404",
"telephone_number": "205-554-2822",
"fax_number": "205-554-2894"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3707 LOOP RD.",
"address_2": "TUSCALOOSA VA MEDICAL CENTER",
"city": "TUSCALOOSA",
"state": "AL",
"postal_code": "35404",
"telephone_number": "205-554-2822",
"fax_number": "205-554-2894"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLIDAY",
"first_name": "JAY",
"middle_name": "WILLIAM",
"credential": "RKT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-03-27",
"last_updated": "2013-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "226300000X",
"taxonomy_group": "",
"desc": "Kinesiotherapist",
"state": null,
"license": "1689",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Tuscaloosa, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.