Individual provider Active NPI

Jonelle Elizabeth Holmes, PT

  • Physical Therapist
  • Watsontown, PA
National Provider Identifier
1528371606
Registry record updated May 26, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT020621 Issued in PA
Practice address
245 E 8TH St
Watsontown, PA 17777-1033
Phone
(570) 538-2561
NPI assigned
Jul 19, 2010
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 26, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X PT020621 PA Primary

Addresses

Primary practice location

245 E 8TH St
Watsontown, PA 17777-1033

Mailing address

1154 Pleasant View Rd
New Columbia, PA 17856-9114

Other practice location 1

465 Susquehanna Trl
Watsontown, PA 17777-8112
Phone (570) 742-2453

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210806000027 PA Practitioner - Physical Therapist in Private Practice 6002210556 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2013
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Family Practice Center PCGroup PAC ID 0244124212, 351 clinicians

Practice addresses (Care Compare)

1 Dock Hill Rd
Middleburg, PA 17842-8910
Phone (570) 837-5889

12560 State Route 405
Watsontown, PA 17777-8525
Phone (570) 538-2501

151 John Brady Dr
Muncy, PA 17756-8401
Phone (570) 935-0468

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Family Practice Center, PC Physical Therapist CurrentSince Aug 1, 2021 Accepting new patients
Family Practice Center, PC CurrentSince Aug 1, 2021 Accepting new patients
Phoenix Rehabilitation and Health Services, Inc. Physical Therapist Past Accepting new patients

Locations

7 Dock Hill Rd
Middleburg, PA 17842
Phone (570) 837-2123

245 E 8th St
Watsontown, PA 17777
Phone (570) 538-2561

12560 State Route 405
Ste 2
Watsontown, PA 17777
Phone (570) 508-7393

465 Susquehanna Trl
Watsontown, PA 17777
Phone (570) 742-2453

Interoperability endpoints

  • Direct secure messaging: jonelleholmesdpt@fpc.medentdirect.com

Organizations & group practices 3

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": "1279497600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1621987200000",
    "number": "1528371606",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1154 PLEASANT VIEW RD",
            "city": "NEW COLUMBIA",
            "state": "PA",
            "postal_code": "178569114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "245 E 8TH ST",
            "city": "WATSONTOWN",
            "state": "PA",
            "postal_code": "177771033",
            "telephone_number": "570-538-2561"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "465 Susquehanna Trl",
            "address_purpose": "LOCATION",
            "city": "Watsontown",
            "state": "PA",
            "postal_code": "177778112",
            "country_code": "US",
            "telephone_number": "570-742-2453",
            "fax_number": "570-742-2468",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JONELLE",
        "middle_name": "ELIZABETH",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2010-07-19",
        "last_updated": "2021-05-26",
        "certification_date": "2021-05-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "PA",
            "license": "PT020621",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Watsontown, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2021; 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.