Active NPI
Jason Charles Holmes, PTA
- Physical Therapy Assistant
- Whiteville, NC
National Provider Identifier
1205279643
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Assistant
- License
- A5110
- Practice address
- 1402 Pinckney St
Whiteville, NC 28472-2221 - Phone
- (910) 642-4245
- NPI assigned
- Apr 16, 2013
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | A5110 | NC | Primary |
Addresses
Primary practice location
1402 Pinckney St
Whiteville, NC 28472-2221
Mailing address
1402 Pinckney St
Whiteville, NC 28472-2221
Phone (910) 642-4245
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| A5110 | NC | MD | Physical Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1366070400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1420416000000",
"number": "1205279643",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1402 PINCKNEY ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722221",
"telephone_number": "910-642-4245"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1402 PINCKNEY ST",
"city": "WHITEVILLE",
"state": "NC",
"postal_code": "284722221",
"telephone_number": "910-642-4245"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "JASON",
"middle_name": "CHARLES",
"name_prefix": "Mr.",
"credential": "PTA",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-16",
"last_updated": "2015-01-05",
"status": "A"
},
"taxonomies": [
{
"code": "225200000X",
"taxonomy_group": "",
"desc": "Physical Therapy Assistant",
"state": "NC",
"license": "A5110",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Whiteville, NC
- Helping Hands Home Care of Whiteville, Inc
- Helping Hands Home Care of Whiteville,Inc.
- Angela Bontee Hilburn
- John David Hodgson, MD
- Deborah Hollern, M.S., CCC-SLP
- Home Medical Systems Inc
- Homecare Management Corporation
- Homecare Management Corporation
- Homecare Management Corporation
- Homecare Management Corporation
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 5, 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.