Jeffery Holdener, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

PT60151770 Issued in WA

Practice address

2212 Dublin Dr NW
Olympia, WA 98502-3439

Phone

(801) 243-3016

NPI assigned

May 1, 2020

Sex

Male

Sole proprietor

Yes

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 WA

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2010

Medicare assignment

May accept Medicare assignment

Group practices

Accessible Living Physical TherapyGroup PAC ID 9830528215, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

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.

• Accessible Living Physical Therapy

  • Physical Therapy Clinic/Center
  • Olympia, WA
  • NPI 1235762832

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1588291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675036800000",
    "number": "1174144091",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2212 DUBLIN DR NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985023439"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2212 DUBLIN DR NW",
            "city": "OLYMPIA",
            "state": "WA",
            "postal_code": "985023439",
            "telephone_number": "801-243-3016"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDENER",
        "first_name": "JEFFERY",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2020-05-01",
        "last_updated": "2023-01-30",
        "certification_date": "2023-01-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT60151770",
            "primary": true
        },
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Resa Lynn Hoiland, LMHC
• Brian Holahan, DO
• Nancy Doreen Holbrook
• Joshua Mack Holcomb, PT
• Philip Andrew Holcombe, PH.D.
• John Paul Holland, MD
• Katelynn Marie Holland
• Kyrah Holland
• Laura Elizabeth Holland, MA
• Stephanie Holland, RN

• Physical Therapist in Olympia, WA
• Providers in Olympia, WA by specialty
• Physical Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 30, 2023; 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.