Individual provider Active NPI

Mark D Holmes, DPT

  • Physical Therapist
  • Littleton, CO
National Provider Identifier
1033193644
Registry record updated Nov 14, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
6239 Issued in CO
Practice address
8089 S Lincoln St Ste 207
Littleton, CO 80122-2720
Phone
(303) 347-1271
Fax
(303) 347-1194
NPI assigned
Dec 6, 2005
Last updated
Nov 14, 2024By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 14, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X 6239 CO Primary
Physical Therapist 225100000X NU

Addresses

Primary practice location

8089 S Lincoln St Ste 207
Littleton, CO 80122-2720

Mailing address

8089 S Lincoln St Ste 207
Littleton, CO 80122-2720
Phone (303) 347-1271

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20041117000674 CO Practitioner - Physical Therapist in Private Practice 8123082328 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 1997
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Cactus Sport and Spine PCGroup PAC ID 5890685671, 2 clinicians

Practice addresses (Care Compare)

8089 S Lincoln St
Suite 207
Littleton, CO 80122-2720
Phone (303) 347-1271

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6239COMDChiropractor

Practice roles

OrganizationSpecialtyStatusNew patients
Cactus Sport and Spine, P.C. CurrentSince Oct 1, 2004 Accepting new patients

Locations

8000 S Lincoln St
Ste 6
Littleton, CO 80122
Phone (303) 347-1271

8089 S Lincoln St
Ste 207
Littleton, CO 80122
Phone (303) 347-1271

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1133827200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1731542400000",
    "number": "1033193644",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8089 S LINCOLN ST STE 207",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222720",
            "telephone_number": "303-347-1271",
            "fax_number": "303-347-1194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8089 S LINCOLN ST STE 207",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801222720",
            "telephone_number": "303-347-1271",
            "fax_number": "303-347-1194"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MARK",
        "middle_name": "D",
        "name_prefix": "Mr.",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2005-12-06",
        "last_updated": "2024-11-14",
        "certification_date": "2024-11-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "6239",
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 14, 2024; 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.