Individual provider Active NPI

Arjen Frederick Holdinga, PT,

  • Physical Therapist
  • Marathon, FL
National Provider Identifier
1003940123
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT7403 Issued in FL
Practice address
2357 Overseas Hwy
Marathon, FL 33050-2231
Phone
(305) 289-8270
Fax
(305) 289-8283
NPI assigned
Mar 14, 2007
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT7403 FL Primary

Addresses

Primary practice location

2357 Overseas Hwy
Marathon, FL 33050-2231

Mailing address

2357 Overseas Hwy
Marathon, FL 33050-2231
Phone (305) 289-8270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060425000065 FL Practitioner - Physical Therapist in Private Practice 4183634975 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1991
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Island Physical Therapy Center, Inc.Group PAC ID 0840484895, 3 clinicians

Practice addresses (Care Compare)

13365 Overseas Hwy
Suite 103
Marathon, FL 33050-3513
Phone (305) 289-0707

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Island Physical Therapy Center, Inc. Physical Therapist CurrentSince Mar 25, 2011 Accepting new patients
Bay Shore Physical Therapy Limited Partnership Physical Therapist PastSince Apr 3, 2006 Accepting new patients

Locations

13365 Overseas Hwy
Ste 103
Marathon, FL 33050
Phone (305) 289-0707

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1173830400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1003940123",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2357 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502231",
            "telephone_number": "305-289-8270",
            "fax_number": "305-289-8283"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2357 OVERSEAS HWY",
            "city": "MARATHON",
            "state": "FL",
            "postal_code": "330502231",
            "telephone_number": "305-289-8270",
            "fax_number": "305-289-8283"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDINGA",
        "first_name": "ARJEN",
        "middle_name": "FREDERICK",
        "credential": "PT,",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-03-14",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "FL",
            "license": "PT7403",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marathon, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.