Organization Active NPI

Holmes Prosthetic Center LLC

  • Prosthetic/Orthotic Supplier
  • Houston, TX
National Provider Identifier
1275813388
Registry record updated Aug 19, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
213 Issued in TX
Legal business name
HOLMES PROSTHETIC CENTER LLC
Practice address
8998 Kirby Dr
Houston, TX 77054-2830
Phone
(713) 432-9949
Fax
(713) 799-1260
NPI assigned
Aug 19, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 19, 2011

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

Authorized official

Name
Mr. Jon Brent Holmes, P.T., C.P.NPI 1700973518
Title
President
Phone
(713) 432-9949

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapy Clinic/Center 261QP2000X 1024800 TX
Prosthetic/Orthotic Supplier 335E00000X 213 TX Primary

Addresses

Primary practice location

8998 Kirby Dr
Houston, TX 77054-2830

Mailing address

8998 Kirby Dr
Houston, TX 77054-2830
Phone (713) 432-9949

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in TX

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20120319000025 TX DME Supplier - Certified Orth/Pros/Pedorthist 8628237286 Practice locations: Houston, TX

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

Medicare medical equipment & supply locations

SupplierSuppliesMedicare assignment
Holmes Prosthetic Center LLC8998 Kirby Dr, Houston, TX 77054-2830(713) 432-9949 Orthoses: Custom Fabricated|Orthoses: Prefabricated (Non-Custom Fabricated)|Orthoses: Off-The-Shelf|Limb Prostheses|Diabetic Shoes and Inserts|Diabetic Shoes/Inserts - Custom|Lymphedema Compression Treatment Items Accepts assignmentParticipating since Jan 23, 2012

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1313712000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1313712000000",
    "number": "1275813388",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8998 KIRBY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542830",
            "telephone_number": "713-432-9949",
            "fax_number": "713-799-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8998 KIRBY DR",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770542830",
            "telephone_number": "713-432-9949",
            "fax_number": "713-799-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLMES PROSTHETIC CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-19",
        "last_updated": "2011-08-19",
        "status": "A",
        "authorized_official_last_name": "HOLMES",
        "authorized_official_first_name": "JON",
        "authorized_official_middle_name": "BRENT",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "713-432-9949",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "P.T., C.P."
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "TX",
            "license": "1024800",
            "primary": false
        },
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "TX",
            "license": "213",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2011; 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.