Staci Stewart Holloway, MPT
NPI 1467687624ActiveIndividual· Physical Therapist· Ventura, CA
Physical Therapist (MPT) with Second Wave Physical Therapy Inc, practicing in Ventura, California. Medicare paid $37,032 for services to 63 patients in 2024.
Overview
| NPI | 1467687624 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | MPT |
| Sole proprietor | Yes |
| NPI issued | May 18, 2009 |
| Last updated in NPPES | Oct 11, 2011 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Physical Therapist Primary | 225100000X | PT 21756 | CA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Practitioner - Physical Therapist in Private Practice (CA) |
|---|---|
| Accepts assignment | Yes (participating) |
Medicare services in 2024
| Medicare patients | 63 |
|---|---|
| Services billed | 1,524 across 10 procedure codes |
| Paid by Medicare | $37,032 |
Education and affiliations
| Graduation year | 1996 |
|---|---|
| Medicare specialty | Physical Therapist In Private Practice |
Medical group
- Second Wave Physical Therapy IncPort Hueneme, CA · 25 clinicians
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All 137 physical therapists in Ventura · All physical therapists in California