NPIMap

Organization Active NPI

Holt Chiropractic & Massage PS

  • Chiropractor
  • Port Orchard, WA
National Provider Identifier
1295052454
Registry record updated Aug 23, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
ChiropractorTaxonomy code 111N00000X
License
CH 00003171 Issued in WA
Legal business name
HOLT CHIROPRACTIC & MASSAGE PS
Practice address
1800 SE Mile Hill Dr
Suite 150
Port Orchard, WA 98366-3511
Phone
(360) 874-0232
Fax
(360) 874-0658
NPI assigned
Apr 28, 2010
Last updated
Aug 23, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 23, 2010

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

Authorized official

Name
Dr. Thomas W Holt, D.C.NPI 1437227428
Title
President
Phone
(360) 874-0232

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
ChiropractorGroup: 193200000X MULTI-SPECIALTY GROUP 111N00000X CH 00003171 WA Primary
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA 60074093 WA
Massage TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225700000X MA00015920 WA

Addresses

Primary practice location

1800 SE Mile Hill Dr
Suite 150
Port Orchard, WA 98366-3511

Mailing address

1800 SE Mile Hill Dr
Suite 150
Port Orchard, WA 98366-3511
Phone (360) 874-0232

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100429000862 WA Part B Supplier - Clinic/Group Practice 4587791108 Receives reassigned benefits from 2 practitioners
Practice locations: Port Orchard, WA

National Provider Directory

National Provider Directory

Locations

2501 SE Mile Hill Dr
Ste 103
Port Orchard, WA 98366
Phone (360) 874-0232

1800 SE Mile Hill Dr
Ste 150
Port Orchard, WA 98366
Phone (360) 874-0232

Practitioners & affiliated clinicians

Practitioners 14

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

View all 14

NPI Registry JSON

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

{
    "created_epoch": "1272412800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1282521600000",
    "number": "1295052454",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1800 SE MILE HILL DR",
            "address_2": "SUITE 150",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663511",
            "telephone_number": "360-874-0232",
            "fax_number": "360-874-0658"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1800 SE MILE HILL DR",
            "address_2": "SUITE 150",
            "city": "PORT ORCHARD",
            "state": "WA",
            "postal_code": "983663511",
            "telephone_number": "360-874-0232",
            "fax_number": "360-874-0658"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLT CHIROPRACTIC & MASSAGE PS",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-04-28",
        "last_updated": "2010-08-23",
        "status": "A",
        "authorized_official_last_name": "HOLT",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "360-874-0232",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "D.C."
    },
    "taxonomies": [
        {
            "code": "111N00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Chiropractor",
            "state": "WA",
            "license": "CH 00003171",
            "primary": true
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA 60074093",
            "primary": false
        },
        {
            "code": "225700000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Massage Therapist",
            "state": "WA",
            "license": "MA00015920",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Port Orchard, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.