DANIEL HOLLEY – Physical Therapist, NPI 1700748605

DANIEL HOLLEY is a healthcare provider. based in Dothan, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. The NPI Number for DANIEL HOLLEY is 1700748605

Main info

Male
1 Year Of Experience
Accepts Medicare Assignment
Name
DANIEL HOLLEY
NPI
1700748605
Phone
(334) 673-2422
Address
3118 ROSS CLARK CIR
Enumeration Date
29 November 2025
Last Update Date
29 November 2025

Doctor Profile

Medical School Name
OTHER
Secondary Phone
3346732422
Graduation Year
2025 (1 year ago)
PAC ID
7113404476
Group Practice PAC ID
5799731972
Professional Enrollment ID
I20260119000000
Address ID
AL363033049DO3118XCIRX400
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience15
Completeness85
Years active:0State licenses:0Digital endpointsOther names

1,487 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for DANIEL HOLLEY

  • 3118 ROSS CLARK CIR

    DOTHAN, AL 363033049

    Phone: (334) 673-2422

    Mailing address matches the actual address.

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: 2026-01-19

PECOS data refreshed: 2026-06-15

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
I20260119000000IPhysical Therapist In Private PracticeALTBD

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 36303)

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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: 5799731972View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeFL

Reviews

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Frequently asked questions

How do I look up DANIEL HOLLEY by NPI?
Use NPI 1700748605 when you need to reference DANIEL HOLLEY in forms, claims, or directories.
Is DANIEL HOLLEY's enrollment marked active?
An active flag here means the NPI record is not in a deactivated state.
Does DANIEL HOLLEY list a primary specialty?
If you are matching referrals, note Physical Therapist for DANIEL HOLLEY. Clinical services aligned with this taxonomy classification.
Where is DANIEL HOLLEY's primary listing?
We display Dothan, Alabama because that is what the record indicates for DANIEL HOLLEY.
How can I contact DANIEL HOLLEY?
Phone or fax may appear on the official NPI record when supplied — verify before relying on them.

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