HOLLY ROBERTS – Physical Therapist, NPI 1629962980

HOLLY ROBERTS is a healthcare provider. based in Hoover, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. 05015984A (IN). The NPI Number for HOLLY ROBERTS is 1629962980

Main info

Female
1 Year Of Experience
Accepts Medicare Assignment
Name
HOLLY ROBERTS
NPI
1629962980
Phone
(423) 702-4389
Address
1200 CORPORATE DR STE 400
Enumeration Date
3 June 2025
Last Update Date
3 June 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
8128032408
Graduation Year
2025 (1 year ago)
PAC ID
1254841794
Group Practice PAC ID
2264846369
Professional Enrollment ID
I20250612001132
Address ID
IN470068914BA204XXPLZX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,865 PHYSICAL THERAPIST IN PRIVATE PRACTICE in IN

Provider Addresses for HOLLY ROBERTS

  • 1200 CORPORATE DR STE 400

    HOOVER, AL 352425424

    Phone: (423) 702-4389

    Type: Mailing

  • 204 CROSS COUNTY PLZ

    BATESVILLE, IN 470068914

    Phone: (812) 803-2408

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2025-06-12

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20250612001132IPhysical Therapist In Private PracticeINTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 35242)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 2264846369View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeIL
Physical Therapist In Private PracticeKY
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeIN
Physical Therapist In Private PracticeGA

Reviews

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Frequently asked questions

What identifier follows HOLLY ROBERTS across health systems?
The NPI 1629962980 uniquely identifies HOLLY ROBERTS in U.S. healthcare data.
Does the public listing show HOLLY ROBERTS as active?
HOLLY ROBERTS's NPI record reflects an active status in NPPES.
What does the directory say HOLLY ROBERTS does?
Insurance directories may phrase it differently, but here HOLLY ROBERTS maps to Physical Therapist. Clinical services aligned with this taxonomy classification.
Is HOLLY ROBERTS tied to Hoover, Alabama?
If you are local to Hoover, Alabama, HOLLY ROBERTS may be relevant to your search.
Can I export HOLLY ROBERTS's record?
You can download the official NPPES record; we summarize key fields for readability.

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