Physician Compare National (NPI:1558527598)

HEALTHCARE PROVIDER: ERIK P HOLMES

Physician Compare National contains general information about individual eligible professionals (EPs) such as demographic information and Medicare quality program participation.

Individual Professional Information
NPI	1558527598
	Unique healthcare provider (clinician) ID assigned by NPPES
PECOS UID	6608885652
	Unique individual clinician ID assigned by PECOS
Professional Enrollment ID	I20060419000445
	Unique ID for the individual professional enrollment that is the source for the data in the observation
Provider Last Name	HOLMES
	Individual professional last name
Provider First Name	ERIK
	Individual professional first name
Provider Middle Name	P
	Individual professional middle name
Provider Gender	M
	The provider's gender if the provider is a person.
Provider Credential Text	PT
	The abbreviations for professional degrees or credentials used or held by the provider, if the provider is an individual. Examples are MD, DDS, CSW, CNA, AA, NP, RNA, or PSY. These credential designations will not be verified by NPS.

Medical School Information
Medical School Name	OTHER
	Individual professional's medical school
Graduation Year	2000
	Individual professional's medical school graduation year
Primary Specialty	PHYSICAL THERAPY
	Primary medical specialty reported by the individual professional in the selected enrollment

Practice Information
Organization Legal Name	PINNACLE REHABILITATION NETWORK LLC
	Legal name of the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Group Practice PAC ID	7618872086
	Unique Group Practice ID assigned by PECOS to the Group Practice that the individual professional works with- will be blank if the address is not linked to a Group Practice
Number of Group Practice members	74
	Total number of individual professionals affiliated with the Group Practice based on Group Practice PAC ID
Line 1 Street Address	30 LANCASTER ST
	Group Practice or individual's line 1 address
Line 2 Street Address	100 BLUE HILLS SPORTS AND SPINE OF BOSTON
	Group Practice or individual's line 2 address
City	BOSTON
	Group Practice or individual's city
State	MA
	Group Practice or individual's state
Zip Code	021141704
	Group Practice or individual's zip code (9 digits when available)
Phone Number	6173674700
	Phone number is listed only when there is a single phone number available for the practice location address

Hospital(s) Affiliation Information
Professional Accepts Medicare Assignment	Y