CARLY HOLTHAUSEN (NPI# 1336751593) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336751593 |
| Entity Type | Individual |
| Full Name | CARLY HOLTHAUSEN |
| Credential | PT, DPT |
| Practice Address |
21 Gateway Corners Park Ste 102 Columbia SC 29203-8906 |
| Practice Telephone | 8036999775 |
| Mailing Telephone | 8036999775 |
| Enumeration Date | 2020-08-19 |
| Last Update Date | 2020-08-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251X0800X |
Physical Therapist Specialization: Orthopedic |
10343 | SC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
21 GATEWAY CORNERS PARK STE 102 |
| City | COLUMBIA |
| State | SC |
| Zip Code | 29203-8906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1407300270 | Katherine Hendrick | Physical Therapist | 21 Gateway Corners Park Ste 102, Columbia, SC 29203-8906 | 2016-08-10 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609475284 | Matthew Leon Brigmon | Surgery | 2 Richland Medical Park, Suite 300, Columbia, SC 29203 | 2020-10-23 |
| 1730706839 | John James Gannon | Family Medicine | Prisma Health Medical Group Family Medicine, 3209 Colonial Drive, Columbia, SC 29203 | 2020-07-06 |
| 1790302362 | Klariz Teves Tucker | Internal Medicine | Internal Medcine Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-30 |
| 1811514482 | Esther Ruth Swan | Psychiatry & Neurology | Prisma Health General Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1447877014 | Jordan Kaitlyn Merrels | Psychiatry & Neurology | Prisma Health Medical Group General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-30 |
| 1306463187 | Jessica Leigh Watson | Psychiatry & Neurology | Prisma Health General Psychiatry, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-29 |
| 1053938852 | Garrison Glenn Rice | Family Medicine | Prisma Health Medical Group Family Medical Center, 3209 Colonial Drive, Columbia, SC 29203 | 2020-06-29 |
| 1053938977 | Rachel Ellen Harper | Obstetrics & Gynecology | The Womens Center, 1801 Sunset Drive, Columbia, SC 29203 | 2020-06-26 |
| 1609493592 | Elizabeth Marie Kern | Orthopaedic Surgery | Prisma Health Medical Group Orthopedic Center, 2 Medical Park, Ste 105, Columbia, SC 29203 | 2020-06-26 |
| 1891312799 | Kathryn Victoria Steverson | Psychiatry & Neurology | Prisma Health Medical Group Psychiatry Center, 15 Medical Park, Ste 141, Columbia, SC 29203 | 2020-06-26 |
| Find all providers in zip 29203 | ||||
| Taxonomy Code | 2251X0800X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Orthopedic |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1457733594 | Rene Terese Scheuer | Physical Therapist | 116 Harborside Cir, Columbia, SC 29229-7585 | 2015-06-25 |
| 1275898421 | Jennifer M Breithaupt | Physical Therapist | 9160 Rumsey Rd Ste B4, Columbia, MD 21045-2034 | 2012-07-12 |
| 1831408673 | Michael F Frossard Jr. | Physical Therapist | 4004 Peach Ct Ste H, Columbia, MO 65203-3800 | 2010-09-28 |
| 1487708178 | Chesapeake Physical Aquatic Therapy, Inc. | Physical Therapist | 7080 Deepage Dr., Columbia, MD 21045 | 2007-01-22 |
| 1356401780 | Daryl Kozon Arnold | Physical Therapist | 8885 Centre Park Drive, Physiotherapy Associates, Columbia, MD 21045 | 2006-12-08 |
| 1285701367 | Her Health Physical Therapy LLC | Physical Therapist | 10705 Charter Dr, Suite 420, Columbia, MD 21044-2893 | 2006-11-30 |
| 1275610057 | Stephanie Taylor | Physical Therapist | 14 Medical Park Dr Suite, Moore Orthopaedic Clinic, P.a., Columbia, SC 29203 | 2006-11-01 |
| 1972123867 | Alexander Anderson | Physical Therapist | 300 Palmetto Health Pkwy Ste 201, Columbia, SC 29212-1762 | 2020-04-21 |
| 1114385770 | Garry Dredge | Physical Therapist | 4500 Stuart St, Columbia, SC 29207-5700 | 2016-02-10 |
| 1437531944 | Lyle Oamil | Physical Therapist | 114 Gateway Corporate Blvd, Columbia, SC 29203-9740 | 2015-06-19 |
| Find all providers in COLUMBIA | ||||
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| 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.