Active NPI
Rachel Lynn Holt, PT, DPT, ATC
- Physical Therapist
- Springdale, AR
National Provider Identifier
1063146884
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- CPO32381T
- Practice address
- 724 Deaver St
Springdale, AR 72764-5356 - Phone
- (479) 259-2339
- NPI assigned
- Jul 16, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | CPO32381T | AR | Primary |
| Athletic Trainer | 2255A2300X | 2021034466 | MO |
Addresses
Primary practice location
724 Deaver St
Springdale, AR 72764-5356
Mailing address
125 Greenland Rd Apt 204
Tontitown, AR 72762-5314
Phone (573) 690-2052
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| CPO32381T | Other | AR | PT COMPACT |
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| CPO32381T | AR | MD | Physical Therapist |
| 2021034466 | MO | MD | Athletic Trainer |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1657929600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1721001600000",
"number": "1063146884",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "125 GREENLAND RD APT 204",
"city": "TONTITOWN",
"state": "AR",
"postal_code": "727625314",
"telephone_number": "573-690-2052"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 DEAVER ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645356",
"telephone_number": "479-259-2339"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "RACHEL",
"middle_name": "LYNN",
"credential": "PT, DPT, ATC",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-07-16",
"last_updated": "2024-07-15",
"certification_date": "2024-07-15",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "CPO32381T",
"primary": true
},
{
"code": "2255A2300X",
"taxonomy_group": "",
"desc": "Specialist/Technologist, Athletic Trainer",
"state": "MO",
"license": "2021034466",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "PT COMPACT",
"identifier": "CPO32381T",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.