Skip to content

Form Pelvic Health LLC

NPI 1962275479ActiveOrganization· Physical Therapist· Roswell, GA

Physical Therapist in Roswell, Georgia, registered in NPPES in November 2023. The authorized official on file is Blair A. Holliday, PT, Owner.

Overview

NPI1962275479
StatusActive
Entity typeOrganization
NPI issuedNov 6, 2023
Last updated in NPPESNov 6, 2023
Certified by providerNov 3, 2023

Specialties and licenses

TaxonomyCodeLicenseState
Physical Therapist Primary225100000X——

About license numbers in NPPES

Exclusion screening

ListResultDetails
HHS-OIG LEIE · Oct 9, 2026No matchChecked by NPI and by name + state
North Carolina Medicaid · Nov 4, 2026No match—
New York OMIG · Nov 4, 2026No match—
Ohio Medicaid · Nov 4, 2026No match—
Pennsylvania Medicheck · Nov 4, 2026No match—
Washington HCA · Nov 4, 2026No match—

Official OIG search · How matching works ·Bulk check a roster

Medicare

Enrollment (PECOS)Not in the public enrollment file of Oct 1, 2026

Medicare sources and data years

Other Physical Therapist providers in Roswell

All Physical Therapist providers in Georgia →