Ellen Joan Holloway, PT
Individual provider Active NPI Physical Therapist · Oklahoma City, OK
NPI 1972029064 · NPPES record last updated Jan 30, 2024
Key facts
- NPI
- 1972029064
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 908 (OK)
- Practice address
- 921 NE 13TH St
Oklahoma City, OK 73104-5007 - Phone
- (405) 456-2583
- NPI assigned
- Aug 21, 2017
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 908 | OK | Yes |
Addresses
Primary practice location
921 NE 13TH St
Oklahoma City, OK 73104-5007
Mailing address
2717 NW 15TH St
Oklahoma City, OK 73107-4825
Phone (405) 818-4674
Other providers in Oklahoma City, OK
- Holloway Group Inc
- Allyson Cathryn Holloway
- Colbie Lenell Holloway
- Conley Holloway
- Daresha M Holloway
- Hunter Brooke Holloway
- Joan Holloway
- Joshua J Holloway
- Latrisha Anna-Marie Holloway
- Michael Ira Holloway
All providers in Oklahoma City, OK · Physical Therapist in Oklahoma
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jan 30, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.