Active NPI
Sarah Rachel Holst, PT, DPT
- Physical Therapist
- Kailua Kona, HI
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 63389
- Practice address
- 75-5699 Kopiko St
Kailua Kona, HI 96740-3651 - Phone
- (808) 329-7744
- Fax
- (808) 334-1608
- NPI assigned
- Aug 27, 2019
- Sex
- Female
- 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 |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 63389 | OR | Primary |
Addresses
Primary practice location
75-5699 Kopiko St
Kailua Kona, HI 96740-3651
Mailing address
2966 Wells Fargo Rd
Central Point, OR 97502-1128
Phone (541) 778-8397
Other practice location 1
242 N Phoenix Rd
Phoenix, OR 97535-9104
Phone (541) 512-0757
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in DC, VA
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Physical Therapist in Private Practice
- Education
- Other, 2019
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
43490 Yukon Dr
Ashburn, VA 20147-6990
Phone (703) 729-7920
5900 Fort Dr
Suite 208
Centreville, VA 20121-2425
Phone (703) 830-6360
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jackson Clinics Limited Partnership | Physical Therapist | Current | Accepting new patients |
Locations
43490 Yukon Dr
Ashburn, VA 20147
Phone (703) 729-7920
5900 Fort Dr
Ste 208
Centreville, VA 20121
Phone (703) 830-6360
12701 Fair Lakes Cir
Ste 102
Fairfax, VA 22033
119 The Plains Rd
Ste 100
Middleburg, VA 20117
Phone (540) 687-8181
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 and National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1566864000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668729600000",
"number": "1508414236",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2966 WELLS FARGO RD",
"city": "CENTRAL POINT",
"state": "OR",
"postal_code": "975021128",
"telephone_number": "541-778-8397"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "75-5699 KOPIKO ST",
"city": "KAILUA KONA",
"state": "HI",
"postal_code": "967403651",
"telephone_number": "808-329-7744",
"fax_number": "808-334-1608"
}
],
"practiceLocations": [
{
"address_1": "242 N Phoenix Rd",
"address_purpose": "LOCATION",
"city": "Phoenix",
"state": "OR",
"postal_code": "975359104",
"country_code": "US",
"telephone_number": "541-512-0757",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HOLST",
"first_name": "SARAH",
"middle_name": "RACHEL",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-08-27",
"last_updated": "2022-11-18",
"certification_date": "2022-11-18",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "OR",
"license": "63389",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kailua Kona, HI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.