Active NPI
Clarence Anthony Holmes Sr., PT
- Physical Therapist
- Cleveland, MS
National Provider Identifier
1023455011
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 362
- Practice address
- 506 3Rd St
Cleveland, MS 38732-2362 - Phone
- (662) 843-0076
- Fax
- (662) 846-7730
- NPI assigned
- May 30, 2013
- Last updated
- Sep 6, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 362 | MS | Primary |
Addresses
Primary practice location
506 3Rd St
Cleveland, MS 38732-2362
Mailing address
506 Third St.
Cleveland, MS 38732-2367
Phone (662) 843-0076
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 362 | MS | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Natural Pain Back Institute, LLC | Physical Therapist | Past | Accepting new patients |
| J and R Chiropractic Inc. | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Chiropractor
- Cleveland, MS
- NPI 1588868194
-
dba C/E Med Back Institute
- General Practice Physician
- Aurora, IL
- NPI 1194197376
Physical Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369872000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1378425600000",
"number": "1023455011",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "506 THIRD ST.",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322367",
"telephone_number": "662-843-0076",
"fax_number": "662-846-7730"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "506 3RD ST",
"city": "CLEVELAND",
"state": "MS",
"postal_code": "387322362",
"telephone_number": "662-843-0076",
"fax_number": "662-846-7730"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "CLARENCE",
"middle_name": "ANTHONY",
"name_prefix": "Mr.",
"name_suffix": "Sr.",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-05-30",
"last_updated": "2013-09-06",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MS",
"license": "362",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Cleveland, MS
- Charles E Hicks
- Amanda Chandler Hill
- Willecia La'Shae Hilson
- David I Hirsch, M.D.
- Stephanie Muirhead Hodnett
- Home Health Care Services II, Inc. (Adoration Home Health Care Mississippi)
- Home Health Care Services II, Inc. (Adoration Home Health Care Mississippi)
- Linder G Howze, PSYCHOLOGIST
- Sondra Speakes Huerta, SLP
- Jessica Colin Humbarger, LMSW, PCMHT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.