Individual provider Active NPI

Macy Holdsworth

  • Physical Therapist
  • Columbus, IN
National Provider Identifier
1033857636
Registry record updated Oct 23, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
99111040A Issued in IN
Practice address
1639 N National Rd
Columbus, IN 47201-5579
Phone
(812) 669-1687
NPI assigned
May 24, 2022
Last updated
Oct 23, 2026By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2026

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 99111040A IN Primary

Addresses

Primary practice location

1639 N National Rd
Columbus, IN 47201-5579

Mailing address

2122 York Rd Ste 300
Oak Brook, IL 60523-1925
Phone (803) 812-3656

Other practice location 1

1050 Copperfield Dr
Georgetown, IN 47122-9075
Phone (812) 951-1440

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220729000842 IN Practitioner - Physical Therapist in Private Practice 7911389556 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
SN Kentuckiana Rehab, LLC Current Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince May 23, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC CurrentSince May 23, 2022 Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients
SN Kentuckiana Rehab, LLC Physical Therapist Past Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients
SN Kentuckiana Rehab, LLC Past Accepting new patients

Locations

9407 County Road 403
Charlestown, IN 47111
Phone (812) 256-0528

325 E Lewis and Clark Pkwy
Ste 100
Clarksville, IN 47129
Phone (812) 283-3231

173 Pacer Dr NW
Corydon, IN 47112
Phone (502) 964-5404

1050 Copperfield Dr
Georgetown, IN 47122
Phone (502) 499-0107

3451 E 10th St
Jeffersonville, IN 47130
Phone (812) 218-8039

1730 Williamsburg Dr
Ste 3
Jeffersonvlle, IN 47130
Phone (812) 246-0705

3154 E 10TH St
Jeffersonvlle, IN 47130

3626 Grant Line Rd
Ste 105
New Albany, IN 47150
Phone (502) 558-2903

651 Hamburg Way
Ste 300
Sellersburg, IN 47172
Phone (812) 248-8180

Organizations & group practices 7

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": "1653350400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1792713600000",
    "number": "1033857636",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2122 YORK RD STE 300",
            "city": "OAK BROOK",
            "state": "IL",
            "postal_code": "605231925",
            "telephone_number": "803-812-3656"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1639 N NATIONAL RD",
            "city": "COLUMBUS",
            "state": "IN",
            "postal_code": "472015579",
            "telephone_number": "812-669-1687"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1050 Copperfield Dr",
            "address_purpose": "LOCATION",
            "city": "Georgetown",
            "state": "IN",
            "postal_code": "471229075",
            "country_code": "US",
            "telephone_number": "812-951-1440",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLDSWORTH",
        "first_name": "MACY",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2022-05-24",
        "last_updated": "2026-10-23",
        "certification_date": "2026-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IN",
            "license": "99111040A",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.