NPIMap

Individual provider Active NPI

Austin D Holley, PT, DPT

  • Physical Therapist
  • Columbia, SC
National Provider Identifier
1982151999
Registry record updated Sep 7, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8348 Issued in SC
Practice address
1519 Taylor St
Columbia, SC 29201-2918
Phone
(803) 779-8327
Fax
(803) 799-3603
NPI assigned
Sep 7, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 7, 2016

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 8348 SC Primary

Addresses

Primary practice location

1519 Taylor St
Columbia, SC 29201-2918

Mailing address

6041 Garners Ferry Rd
Suite B
Columbia, SC 29209-1304
Phone (803) 783-0684

Other identifiers 1

IdentifierTypeStateIssuer
8348OtherSCSC BOARD OF PHYSICAL THERAPY EXAMINERS

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in SC

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20190425003030 SC Practitioner - Physical Therapist in Private Practice 5799027561

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
8348SCMDProfessional Counselor

Practice roles

OrganizationSpecialtyStatusNew patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
Palmetto Therapy Services Physical Therapist PastSince Apr 3, 2019 Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
Cora South Carolina LLC Past Accepting new patients
First Physical Therapy, LLC Past Accepting new patients
First Physical Therapy LLC Past Accepting new patients

Organizations & group practices 11

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

NPI Registry JSON

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

{
    "created_epoch": "1473206400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1473206400000",
    "number": "1982151999",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6041 GARNERS FERRY RD",
            "address_2": "SUITE B",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292091304",
            "telephone_number": "803-783-0684",
            "fax_number": "803-783-1147"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1519 TAYLOR ST",
            "city": "COLUMBIA",
            "state": "SC",
            "postal_code": "292012918",
            "telephone_number": "803-779-8327",
            "fax_number": "803-799-3603"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "AUSTIN",
        "middle_name": "D",
        "credential": "PT, DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-09-07",
        "last_updated": "2016-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "SC",
            "license": "8348",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SC BOARD OF PHYSICAL THERAPY EXAMINERS",
            "identifier": "8348",
            "state": "SC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbia, SC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 2016; 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.