Active NPI
Thomas P Holt, LMP
- Specialist
- Snoqualmie, WA
National Provider Identifier
1417399668
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Specialist
- License
- MA60364709
- Practice address
- 7726 Center Blvd SE Ste 125
Snoqualmie, WA 98065-8751 - Phone
- (425) 396-0613
- Fax
- (425) 396-0614
- NPI assigned
- Jul 29, 2013
- Last updated
- Apr 18, 2018
- 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 |
|---|---|---|---|---|
| Specialist | 174400000X | MA60364709 | WA | Primary |
Addresses
Primary practice location
7726 Center Blvd SE Ste 125
Snoqualmie, WA 98065-8751
Mailing address
34113 SE David Powell Rd
Fall City, WA 98024-8801
Phone (425) 985-1822
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 |
|---|---|---|---|
| MA60364709 | WA | MD | Specialist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jason Green, PLLC | Past | Accepting new patients |
Organizations & group practices 1
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1375056000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1524009600000",
"number": "1417399668",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "34113 SE DAVID POWELL RD",
"city": "FALL CITY",
"state": "WA",
"postal_code": "980248801",
"telephone_number": "425-985-1822"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7726 CENTER BLVD SE STE 125",
"city": "SNOQUALMIE",
"state": "WA",
"postal_code": "980658751",
"telephone_number": "425-396-0613",
"fax_number": "425-396-0614"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "THOMAS",
"middle_name": "P",
"credential": "LMP",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-07-29",
"last_updated": "2018-04-18",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "WA",
"license": "MA60364709",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Snoqualmie, WA
- Roxana Hicks, MD
- Noah Hilliker
- Jamie Rachel Hitchcock, SLP
- David Hodel
- Patricia Soderlund Holladay, OTR
- Megan Thomas Horita
- House, Lee, Mast, McDonald and Nelson, PC (Snoqualmie Valley Kids Dentist)
- Timothy Jon Huber, P.T.
- Sheila M Hunter, MA, LMHC
- Integrated Rehabilitation Group, PC (IRG Physical & Hand Therapy - Snoqualmie Ridge)
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 18, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.