Individual provider Active NPI

Luke Hollomon, DPT

  • Sports Physical Therapist
  • Henrico, VA
National Provider Identifier
1558207688
Registry record updated Apr 29, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Sports Physical TherapistTaxonomy code 2251S0007X
License
2305215802 Issued in VA
Practice address
2220 Newman Rd
Henrico, VA 23231-1714
Phone
(575) 635-3681
NPI assigned
Apr 29, 2026
Last updated
Apr 29, 2026By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 29, 2026

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Sports Physical Therapist 2251S0007X 2305215802 VA Primary

Addresses

Primary practice location

2220 Newman Rd
Henrico, VA 23231-1714

Mailing address

2220 Newman Rd
Henrico, VA 23231-1714
Phone (575) 635-3681

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

LicenseStateTypeSpecialty
2305215802VAMDSports Physical Therapist

NPI Registry JSON

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

{
    "created_epoch": "1777420800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1777420800000",
    "number": "1558207688",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 NEWMAN RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232311714",
            "telephone_number": "575-635-3681"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 NEWMAN RD",
            "city": "HENRICO",
            "state": "VA",
            "postal_code": "232311714",
            "telephone_number": "575-635-3681"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOMON",
        "first_name": "LUKE",
        "name_prefix": "Dr.",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2026-04-29",
        "last_updated": "2026-04-29",
        "certification_date": "2026-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251S0007X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Sports",
            "state": "VA",
            "license": "2305215802",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Henrico, VA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2026; 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.