Active NPI
Jacob Holt, PT, DPT, MS
- Orthopedic Physical Therapist
- Murray, UT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Orthopedic Physical Therapist
- License
- 13395764-2401
- Practice address
- 5151 900 E #100
Murray, UT 84117 - Phone
- (801) 261-3321
- NPI assigned
- Aug 10, 2023
- Last updated
- Aug 10, 2023
- 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 |
|---|---|---|---|---|
| Orthopedic Physical Therapist | 2251X0800X | 13395764-2401 | UT | Primary |
Addresses
Primary practice location
5151 900 E #100
Murray, UT 84117
Mailing address
213 W Civic Center Dr Apt 322
Sandy, UT 84070-1235
Phone (619) 246-3039
Other practice location 1
11762 S State St Ste 120
Draper, UT 84020-7158
Phone (801) 501-8359
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in UT
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
5151 S 900
Suite 100
Salt Lake City, UT 84117-6658
Phone (801) 261-3321
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 13395764-2401 | UT | MD | Orthopedic Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hand & Orthopedic Rehabilitation Specialists | Current | Accepting new patients | |
| Hand & Orthopedic Rehabilitation Specialists | Current | Accepting new patients | |
| Hand & Orthopedic Rehabilitation Specialists | Current | Accepting new patients | |
| Hand & Orthopedic Rehabilitation Specialists | Past | Accepting new patients |
Locations
11762 S State St
Ste 120
Draper, UT 84020
Phone (801) 501-8359
5151 S 900 E
Ste 100
Murray, UT 84117
Phone (801) 261-3321
Organizations & group practices 4
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.
-
- Physical Therapist
- Salt Lake City, UT
- NPI 1790815173
-
- Physical Therapist
- Bountiful, UT
- NPI 1437487360
-
dba Hand and Orthopedic Physical Therapy Specialists
- Physical Therapist
- West Jordan, UT
- NPI 1811872245
-
- Specialist
- Draper, UT
- NPI 1891093167
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1691625600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1691625600000",
"number": "1023791688",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "213 W CIVIC CENTER DR APT 322",
"city": "SANDY",
"state": "UT",
"postal_code": "840701235",
"telephone_number": "619-246-3039"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5151 900 E #100",
"city": "MURRAY",
"state": "UT",
"postal_code": "84117",
"telephone_number": "801-261-3321"
}
],
"practiceLocations": [
{
"address_1": "11762 S State St Ste 120",
"address_purpose": "LOCATION",
"city": "Draper",
"state": "UT",
"postal_code": "840207158",
"country_code": "US",
"telephone_number": "801-501-8359",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLT",
"first_name": "JACOB",
"credential": "PT, DPT, MS",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2023-08-10",
"last_updated": "2023-08-10",
"certification_date": "2023-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "2251X0800X",
"taxonomy_group": "",
"desc": "Physical Therapist, Orthopedic",
"state": "UT",
"license": "13395764-2401",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Murray, UT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2023; 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.