Active NPI
Allen L Holm, PT
- Physical Therapist
- Sioux Falls, SD
National Provider Identifier
1235125451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 0215
- Practice address
- 1720 S Cliff Ave
Sioux Falls, SD 57105-2129 - Phone
- (605) 334-5630
- Fax
- (605) 332-5327
- NPI assigned
- Sep 22, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 0215 | SD | Primary |
| Physical Therapist | 225100000X | 6177 | MN |
Addresses
Primary practice location
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Mailing address
1720 S Cliff Ave
Sioux Falls, SD 57105-2129
Phone (605) 334-5630
Other identifiers 14
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0215 | Other | SD | DAKOTACARE |
| 5831602 | Medicaid | SD | |
| 4998212 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-04050 | Other | SD | MEDICA |
| 4998554 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-05331 | Other | SD | MEDICA |
| 20704 | Other | SD | SIOUX VALLEY HEALTH PLANS |
| 5831606 | Medicaid | SD | |
| 10F99HO | Other | SD | BLUE CROSS BLUE SHIELD MN |
| 64-07563 | Other | SD | MEDICA |
| 793621 | Other | SD | ARAZ |
| O3S71HO | Other | MN | BLUE CROSS BLUE SHIELD MN |
| 4994835 | Other | SD | BLUE CROSS BLUE SHIELD SD |
| 64-07183 | Other | SD | MEDICA |
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 |
|---|---|---|---|
| 0215 | SD | MD | Nurse Practitioner |
| 6177 | MN | MD | Acute Care Nurse Practitioner |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1127347200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1235125451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1720 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052129",
"telephone_number": "605-334-5630",
"fax_number": "605-332-5327"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1720 S CLIFF AVE",
"city": "SIOUX FALLS",
"state": "SD",
"postal_code": "571052129",
"telephone_number": "605-334-5630",
"fax_number": "605-332-5327"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLM",
"first_name": "ALLEN",
"middle_name": "L",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2005-09-22",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "SD",
"license": "0215",
"primary": true
},
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "MN",
"license": "6177",
"primary": false
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "DAKOTACARE",
"identifier": "0215",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5831602",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4998212",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-04050",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4998554",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-05331",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "SIOUX VALLEY HEALTH PLANS",
"identifier": "20704",
"state": "SD"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "5831606",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "10F99HO",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-07563",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARAZ",
"identifier": "793621",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD MN",
"identifier": "O3S71HO",
"state": "MN"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHIELD SD",
"identifier": "4994835",
"state": "SD"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "MEDICA",
"identifier": "64-07183",
"state": "SD"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Sioux Falls, SD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.