Individual provider Active NPI

Seth Holt, MS PT

  • Physical Therapist
  • Ainsworth, NE
National Provider Identifier
1073578290
Registry record updated Jan 20, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
3236 Issued in NE
Practice address
945 E Zero St
Ainsworth, NE 69210-1556
Phone
(402) 387-2800
Fax
(402) 387-2804
NPI assigned
Apr 19, 2006
Last updated
Jan 20, 2015By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jan 20, 2015

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 PT-942 WY
Physical Therapist 225100000X 3236 NE Primary

Addresses

Primary practice location

945 E Zero St
Ainsworth, NE 69210-1556

Mailing address

945 E Zero St
Ainsworth, NE 69210-1556
Phone (402) 387-2800

Other identifiers 1

IdentifierTypeStateIssuer
281325OtherNEMEDICARE PTAN #

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)
Enrolled
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
3236NEMDMental Health Counselor
942WYMDMental Health Counselor
PT-942WYMDPhysical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
High Plains Physical Therapy Associates Inc CurrentSince Oct 15, 2012 Accepting new patients
High Plains Physical Therapy II LLC PastSince Sep 1, 2017 Accepting new patients

Locations

5610 Peaceful Pines Rd
Ste 4
Black Hawk, SD 57718
Phone (605) 348-9530

614 East Blvd
Rapid City, SD 57701
Phone (605) 347-0232

Interoperability endpoints

  • FHIR API: https://fhir-myrecord.cerner.com/r4/f24ac13d-3953-486e-b046-3f6f7cc41dd9/

Organizations & group practices 2

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": "1145404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1421712000000",
    "number": "1073578290",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "945 E ZERO ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101556",
            "telephone_number": "402-387-2800",
            "fax_number": "402-387-2804"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "945 E ZERO ST",
            "city": "AINSWORTH",
            "state": "NE",
            "postal_code": "692101556",
            "telephone_number": "402-387-2800",
            "fax_number": "402-387-2804"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "SETH",
        "name_prefix": "Mr.",
        "credential": "MS PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-19",
        "last_updated": "2015-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WY",
            "license": "PT-942",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NE",
            "license": "3236",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN #",
            "identifier": "281325",
            "state": "NE"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ainsworth, NE

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2015; 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.