Kevin Richard Holmes, DPT, OCS

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

17169 Issued in MT

Practice address

2740 South Ave W Ste 101
Missoula, MT 59804-5137

Phone

(406) 543-0617

Fax

(406) 728-1085

NPI assigned

Jun 13, 2011

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

Enrolled in MT

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Strong Physio PLLCGroup PAC ID 9234529769, 3 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Strong Physio PLLC

  dba Lolo Physical Therapy

  • Physical Therapy Clinic/Center
  • Lolo, MT
  • NPI 1871264879

  Physical Therapist

  Medicare reassignment Care Compare group NPD
• Northern Rockies Orthopaedics, PLLP

  • Clinic/Center
  • Missoula, MT
  • NPI 1922008077

  Physical Therapist

  Medicare reassignment NPD
• Avamere Outpatient Services, LLC

  dba Northshore Physical Therapy

  • Physical Therapist
  • Bothell, WA
  • NPI 1710151311
  NPD (past)
• Cottage Grove Physical Therapy Services, Inc

  • Physical Therapist
  • Cottage Grove, OR
  • NPI 1407847999
  NPD (past)

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

{
    "created_epoch": "1307923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565740800000",
    "number": "1144515743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 SOUTH AVE W STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045137",
            "telephone_number": "406-543-0617",
            "fax_number": "406-728-1085"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 SOUTH AVE W STE 101",
            "city": "MISSOULA",
            "state": "MT",
            "postal_code": "598045137",
            "telephone_number": "406-543-0617",
            "fax_number": "406-728-1085"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "KEVIN",
        "middle_name": "RICHARD",
        "credential": "DPT, OCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2011-06-13",
        "last_updated": "2019-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "OR",
            "license": "06545",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "MT",
            "license": "17169",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Coty John Holm
• Shirley Marie O'Hearn Holm, LMT
• Geoffrey Dutton Holman, MD
• Phillip M Holman, M.D.
• Heather R Holmes, DPT
• Zachariah Holmes, PHARMD
• Derek Holt, PMHNP-BC
• Jennifer Renee Holt, DPT
• Jessica Holt, COTA/L
• Richard Frederick John Holtzen III, D.M.D.

• Physical Therapist in Missoula, MT
• Providers in Missoula, MT by specialty
• Physical Therapist in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 14, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.