Active NPI
Jonelle Elizabeth Holmes, PT
- Physical Therapist
- Watsontown, PA
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- PT020621
- 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
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 | 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
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Family Practice Center, PC | Physical Therapist | Current | Accepting new patients |
| Family Practice Center, PC | Current | 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
- 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.
-
- Physical Therapist
- Middleburg, PA
- NPI 1154376937
-
- Clinical Medical Laboratory
- Selinsgrove, PA
- NPI 1033322466
-
- Physical Therapist
- Cranberry Township, PA
- NPI 1720084155
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.