Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Carly Holloway

Individual provider Physical Therapist · NPI 1154049096

Carly Holloway is a Physical Therapist in Private Practice in Flowood, Mississippi. Qualified in 2022, 4 years ago. Practices with Capital Orthopaedic Clinic, PLLC, a 48-clinician group and accepts Medicare assignment. Licensed in Mississippi.

Years since qualifying
4
Licensed in
MS
In the registry since
2022
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Practice location Address checks out

104 Burney Dr
Flowood, MS 39232-6621
Phone: (601) 987-8202
Fax: (601) 718-0293
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 7416 (MS)

Record details

NPI number1154049096
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedAugust 17, 2022
Last updated in NPPESMay 15, 2026
Certification dateMay 15, 2026
Mailing addressPo Box 30594, Charlotte, NC 28230-0594

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2022 (4 years in practice)
Group practice Capital Orthopaedic Clinic, Pllc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Flowood