HOLT THERAPY AND WELLNESS, PLLC (NPI# 1891128260) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1891128260 |
| Entity Type | Organization |
| Organization Name | HOLT THERAPY AND WELLNESS, PLLC |
| Practice Address |
310 Mid Continent Plz Ste 185 West Memphis AR 72301-1700 |
| Practice Telephone | 8707322828 |
| Practice Fax Number | 8707321727 |
| Mailing Telephone | 8707322828 |
| Mailing Fax Number | 8707321727 |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2015-03-03 |
| Authorized Official Name | MR. KEVIN DEAN HOLT (OWNER/PHYSICAL THERAPIST) |
| Authorized Official Telephone | 8707322828 |
| Authorized Official Credential | M. S. |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261QR0401X |
Clinic/Center Specialization: Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
PT1846 | AR | Ambulatory Health Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | BLUE CROSS BLUE SHIELD | 1891128260 | 01 |
| AR | HEALTH ADVANTAGE | 1891128260 | 01 |
| AR | USABLE | 1891128260 | 01 |
| AR | MEDI-PAK | 1891128260 | 01 |
| Street Address |
310 MID CONTINENT PLZ STE 185 |
| City | WEST MEMPHIS |
| State | AR |
| Zip Code | 72301-1700 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1568652683 | Candace M. Wright | Physical Therapy Assistant | 310 Mid Continent Plz Ste 185, West Memphis, AR 72301-1700 | 2007-07-25 |
| 1659704120 | Kevin Dean Holt | Physical Therapist | 310 Mid Continent Plz Ste 185, West Memphis, AR 72301-1700 | 2013-08-19 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1235755497 | Shannon Mcelroy | Pharmacist | 300 I-40 Service Rd, West Memphis, AR 72301 | 2020-06-23 |
| 1891319745 | Heather Nichole Fesperman | Nurse Practitioner | 420 W Cooper Ave, West Memphis, AR 72301 | 2020-06-05 |
| 1174161475 | Mary Williams | Pharmacist | 300 I-40 Service Road, West Memphis, AR 72301 | 2019-12-17 |
| 1336787035 | Yolanda Monique Fulton | Assisted Living Facility | 711 Purduve Ave, West Memphis, AR 72301 | 2019-12-13 |
| 1255813317 | Urgent Care Travel, Inc | Clinic/Center | 3400 Service Loop 2, West Memphis, AR 72301 | 2018-09-05 |
| 1841770302 | Cuffie Healthcare LLC | Home Health | 403 Ingram Blvd, West Memphis, AR 72301 | 2018-08-15 |
| 1467940312 | Mark Aaron Whitlock | Dentist | 110 Dover Rd, West Memphis, AR 72301 | 2018-04-26 |
| 1043715329 | Crossroads Treatment Center of West Memphis, PC | Clinic/Center | 103 S Avalon St, West Memphis, AR 72301 | 2018-03-28 |
| 1114445202 | Deborah Thompson Ferguson | Dentist | 200 S Rhodes St Ste B, West Memphis, AR 72301 | 2017-09-08 |
| 1154745487 | Erin Camille Greer | Specialist/Technologist | 610 N. Missouri Street, Suite 1, West Memphis, AR 72301 | 2014-02-06 |
| Find all providers in zip 72301 | ||||
| Taxonomy Code | 261QR0401X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF) |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952908972 | Quality Health Services | Clinic/Center | 205 Fairview Rd Ste A, Crossett, AR 71635-4545 | 2020-10-02 |
| 1528693850 | Incura of Little Rock Pa | Clinic/Center | 3801 John F Kennedy Blvd, North Little Rock, AR 72116-8247 | 2020-03-06 |
| 1205454808 | Incura, Inc. | Clinic/Center | 3801 Jfk Blvd, North Little Rock, AR 72116-8247 | 2020-07-09 |
| 1114439676 | City Transport LLC | Clinic/Center | 104 N 1st St, Cabot, AR 72023-3075 | 2017-10-24 |
| 1467906495 | Arkansas Complete Care, LLC | Clinic/Center | 3 Office Park Dr, Little Rock, AR 72211-3843 | 2016-08-08 |
| 1740635788 | Central Arkansas Corf | Clinic/Center | 650 United Dr, Suite 200, Conway, AR 72032-7826 | 2016-04-27 |
| 1821351370 | Village Comprehensive Therapy Front Gate LLC | Clinic/Center | 3903 N Highway 7, Hot Springs Village, AR 71909-9604 | 2012-06-20 |
| 1093078552 | Village Comprehensive Therapy East Gate LLC | Clinic/Center | 25255 Highway 5 Ste N, Lonsdale, AR 72087-9102 | 2012-06-20 |
| 1063711901 | Arkansas Complete Care, LLC | Clinic/Center | 190 Aviation Plz, Suite A-d, Hot Springs, AR 71913-5529 | 2011-03-17 |
| 1902075807 | Counseling and Education Center, Inc | Clinic/Center | 406 Pecan St, Helena, AR 72342-3212 | 2008-02-25 |
| Find all providers with the same taxonomy | ||||
| City | WEST MEMPHIS |
| Zip Code | 72301 |
Please comment or provide details below to improve the information on HOLT THERAPY AND WELLNESS, PLLC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.