Individual provider Active NPI

Howell Scott Holmes Jr., PT

  • Physical Therapist
  • Milan, TN
National Provider Identifier
1073826889
Registry record updated Apr 16, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
8710 Issued in TN
Practice address
2047 Kefauver Dr Ste B
Milan, TN 38358
Phone
(731) 238-1181
Fax
(731) 300-2350
NPI assigned
Jul 21, 2010
Last updated
Apr 16, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 16, 2019

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 8710 TN Primary
Orthopedic Physical Therapist 2251X0800X PT28671 FL

Addresses

Primary practice location

2047 Kefauver Dr Ste B
Milan, TN 38358

Mailing address

2047 Kefauver Dr Ste B
Milan, TN 38358-3458
Phone (731) 238-1181

Other practice location 1

206 N Main St
Medina, TN 38355-9765
Phone (731) 414-8389

Other practice location 2

2615 Centennial Blvd
Suite 101
Tallahassee, FL 32308-0586
Phone (850) 656-1837

Other practice location 3

2047 Kefauver Dr Ste B
Milan, TN 38358
Phone (731) 238-1181

Other identifiers 1

IdentifierTypeStateIssuer
HS452ZOtherFLMEDICARE PTAN

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20180713001856 TN Practitioner - Physical Therapist in Private Practice 0345471942 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Holmes Physical Therapy, LLC CurrentSince Oct 10, 2017 Accepting new patients

Locations

206 N Main St
Medina, TN 38355
Phone (731) 238-1181

2047 Kefauver Dr
Ste B
Milan, TN 38358
Phone (731) 238-1181

Interoperability endpoints

  • Direct secure messaging: scottholmespt@holmespt.kareodirect.com

Organizations & group practices 1

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": "1279670400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1073826889",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2047 KEFAUVER DR STE B",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "383583458",
            "telephone_number": "731-238-1181",
            "fax_number": "731-300-2350"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2047 KEFAUVER DR STE B",
            "city": "MILAN",
            "state": "TN",
            "postal_code": "38358",
            "telephone_number": "731-238-1181",
            "fax_number": "731-300-2350"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "206 N Main St",
            "address_purpose": "LOCATION",
            "city": "Medina",
            "state": "TN",
            "postal_code": "383559765",
            "country_code": "US",
            "telephone_number": "731-414-8389",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2615 Centennial Blvd",
            "address_2": "Suite 101",
            "address_purpose": "LOCATION",
            "city": "Tallahassee",
            "state": "FL",
            "postal_code": "323080586",
            "country_code": "US",
            "telephone_number": "850-656-1837",
            "fax_number": "850-877-2917",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "2047 Kefauver Dr Ste B",
            "address_purpose": "LOCATION",
            "city": "Milan",
            "state": "TN",
            "postal_code": "38358",
            "country_code": "US",
            "telephone_number": "731-238-1181",
            "fax_number": "731-300-2350",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "HOWELL",
        "middle_name": "SCOTT",
        "name_prefix": "Dr.",
        "name_suffix": "Jr.",
        "credential": "PT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2010-07-21",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "TN",
            "license": "8710",
            "primary": true
        },
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "FL",
            "license": "PT28671",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE PTAN",
            "identifier": "HS452Z",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Milan, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 16, 2019; 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.