Individual provider Active NPI

Rachel Lynn Holt, PT, DPT, ATC

  • Physical Therapist
  • Springdale, AR
National Provider Identifier
1063146884
Registry record updated Jul 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
CPO32381T Issued in AR
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

Updated by the provider on Jul 15, 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 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

IdentifierTypeStateIssuer
CPO32381TOtherARPT 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

LicenseStateTypeSpecialty
CPO32381TARMDPhysical Therapist
2021034466MOMDAthletic 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.

Verify at the official NPI Registry.