Matthew Holman, PTA

Primary specialty

Physical Therapy AssistantTaxonomy code 225200000X

License

P1 60233476 Issued in WA

Practice address

171 SW 6TH Ave
Oak Harbor, WA 98277-2377

Phone

(360) 279-2555

Fax

(360) 679-0919

NPI assigned

Feb 25, 2016

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Select Rehabilitation, LLC

  • Rehabilitation Clinic/Center
  • Glenview, IL
  • NPI 1346368248

  Physical Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1456358400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1713830400000",
    "number": "1073973632",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "171 SW 6TH AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772377",
            "telephone_number": "253-228-2285",
            "fax_number": "360-679-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "171 SW 6TH AVE",
            "city": "OAK HARBOR",
            "state": "WA",
            "postal_code": "982772377",
            "telephone_number": "360-279-2555",
            "fax_number": "360-679-0919"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMAN",
        "first_name": "MATTHEW",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-02-25",
        "last_updated": "2024-04-23",
        "certification_date": "2024-04-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "WA",
            "license": "P1 60233476",
            "primary": true
        },
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hills Rehab and Performance PLLC
• Frank William Holiber, DO
• Kristine Holiday
• Logan Holleman
• Kristel Hollick
• Robert Gary Holmes, DMD
• Sara Holub
• Julie Rose Hong
• Philipp Hoog, PT
• Carina Cezar Hopen, M.D.

• Physical Therapy Assistant in Oak Harbor, WA
• Providers in Oak Harbor, WA by specialty
• Physical Therapy Assistant in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 23, 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.