Crystal Roma Holt, D.P.T

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

8526 Issued in AZ

Practice address

539 E. Glendale Ave
Ste 105
Phoenix, AZ 85020

Phone

(602) 241-3145

Fax

(602) 241-3146

NPI assigned

Sep 24, 2009

Last updated

Aug 2, 2012By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 3

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Kinect Physical Therapy, PLLC

  • Physical Therapist
  • Chandler, AZ
  • NPI 1811265929
  NPD (past)
• Performance Physical Therapy, LLC

  • Physical Therapist
  • Tempe, AZ
  • NPI 1962511949
  NPD (past)

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

{
    "created_epoch": "1253750400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1343865600000",
    "number": "1043544935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "950 E RIGGS RD STE 1",
            "city": "CHANDLER",
            "state": "AZ",
            "postal_code": "852495403",
            "telephone_number": "480-802-8739",
            "fax_number": "480-802-8739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "539 E. GLENDALE AVE",
            "address_2": "STE 105",
            "city": "PHOENIX",
            "state": "AZ",
            "postal_code": "85020",
            "telephone_number": "602-241-3145",
            "fax_number": "602-241-3146"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "CRYSTAL",
        "middle_name": "ROMA",
        "credential": "D.P.T",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-09-24",
        "last_updated": "2012-08-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "8526",
            "primary": true
        },
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Julianne Jordan Holroyd, PHD
• Brandon True Holt
• Brittani Holt
• Brooklynnn June Holt
• Christopher Edward Holt, CCC-SLP
• Jeremy Randal Corey Holt
• Julianne Marie Holt, PT MBA
• Kenneth Curtis Holt
• Nanette Marie Holt, MC LPC
• Tim Holt

• Physical Therapist in Phoenix, AZ
• Providers in Phoenix, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 2, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.