MEDICARE: ABBEY HOLMES

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	306222	CA

General Provider Information

NPI Number	:	1679462329
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ABBEY HOLMES

Provider Business Mailing Address
First Line	:	11728 1/2 HAMLIN ST
Second Line	:
City	:	NORTH HOLLYWOOD
State	:	CA
Zip	:	91606-2914
Country	:	US
Telephone Number	:	240-772-0366
Fax Number	:

Provider Business Practice Location Address
First Line	:	1110 W MAGNOLIA BLVD
Second Line	:
City	:	BURBANK
State	:	CA
Zip	:	91506-1812
Country	:	US
Telephone Number	:	747-272-0027
Fax Number	:	747-272-0041

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/30/2025
Last Update Date	:	02/19/2026

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Directions to “ ABBEY HOLMES ” Practice Location

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