Provider Demographics
NPI:1366645012
Name:KAREN HOLMES PHYSICAL THERAPY, LLC
Entity Type:Organization
Organization Name:KAREN HOLMES PHYSICAL THERAPY, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:
Authorized Official - First Name:KAREN
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLMES
Authorized Official - Suffix:
Authorized Official - Credentials:DPT
Authorized Official - Phone:978-499-1870
Mailing Address - Street 1:191 ELM ST
Mailing Address - Street 2:
Mailing Address - City:SALISBURY
Mailing Address - State:MA
Mailing Address - Zip Code:01952-1814
Mailing Address - Country:US
Mailing Address - Phone:978-500-9586
Mailing Address - Fax:978-499-1871
Practice Address - Street 1:191 ELM ST
Practice Address - Street 2:
Practice Address - City:SALISBURY
Practice Address - State:MA
Practice Address - Zip Code:01952-1814
Practice Address - Country:US
Practice Address - Phone:978-500-9586
Practice Address - Fax:978-499-1871
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-08
Last Update Date:2017-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA40942251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedicGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0002051OtherMEDICARE P TAN
MAY66189OtherBCBS OF MA
MAAA89049OtherHARVARD PILGRIM
NH08Y010803MA02OtherANTHEM
1588653034OtherINDIVIDUAL NPI #