Jacob Holt, PT, DPT, AT, ATC

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

1232 Griswold St SE
Grand Rapids, MI 49507-3815

Phone

(616) 207-3861

NPI assigned

May 30, 2023

Last updated

Apr 28, 2025By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Home Connection Therapy LLC

  • Occupational Therapist
  • Grand Rapids, MI
  • NPI 1265005151

  Multi-Specialty

  NPD

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

{
    "created_epoch": "1685404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745798400000",
    "number": "1497448187",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1002 W BROOMFIELD ST APT 8C",
            "city": "MOUNT PLEASANT",
            "state": "MI",
            "postal_code": "488584530"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1232 GRISWOLD ST SE",
            "city": "GRAND RAPIDS",
            "state": "MI",
            "postal_code": "495073815",
            "telephone_number": "616-207-3861"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3082 Jens Way",
            "address_purpose": "LOCATION",
            "city": "Mount Pleasant",
            "state": "MI",
            "postal_code": "488588504",
            "country_code": "US",
            "telephone_number": "989-317-0070",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLT",
        "first_name": "JACOB",
        "credential": "PT, DPT, AT, ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-30",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": "MI",
            "license": "5501302468",
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Rudert Holsworth, D.O.
• Tyler Alan Holsworth
• Heaven Rose Holt-Minaker, BEHAVIOR TECHNICIAN
• Gretchen S Holt-Vredevoogd, PA-C
• Chelsea Holt
• Janessa Holt, RBT
• Mary R. Holt, CPNP
• Jean Marie Holthaus, LISW, LMSW
• Holton Management, LLC
• Julie Holtsclaw, LPN

• Physical Therapist in Grand Rapids, MI
• Providers in Grand Rapids, MI by specialty
• Physical Therapist in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.