Individual provider Active NPI

Kristopher T Holden, MPT

  • Physical Therapist
  • Spokane Valley, WA
National Provider Identifier
1558405746
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT00009065 Issued in WA
Practice address
213 S University Rd Ste 3
Spokane Valley, WA 99206-5364
Phone
(509) 893-0600
Fax
(509) 926-5828
NPI assigned
Feb 19, 2007
Last updated
Jul 8, 2007By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 PT00009065 WA Primary

Addresses

Primary practice location

213 S University Rd Ste 3
Spokane Valley, WA 99206-5364

Mailing address

213 S University Rd Ste 3
Spokane Valley, WA 99206-5364
Phone (509) 893-0600

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Paula K. Mays Physical Therapist PastSince Jan 14, 2003 Accepting new patients
B&B Physical Therapy Inc Physical Therapist PastSince Jun 9, 2003 Accepting new patients
A and B Physical Therapy PLLC Physical Therapist PastSince May 17, 2021 Accepting new patients
Orthopaedic Specialty Clinic of Spokane Past Accepting new patients

Organizations & group practices 4

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.

NPI Registry JSON

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

{
    "created_epoch": "1171843200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1558405746",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "213 S UNIVERSITY RD STE 3",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065364",
            "telephone_number": "509-893-0600",
            "fax_number": "509-926-5828"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "213 S UNIVERSITY RD STE 3",
            "city": "SPOKANE VALLEY",
            "state": "WA",
            "postal_code": "992065364",
            "telephone_number": "509-893-0600",
            "fax_number": "509-926-5828"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDEN",
        "first_name": "KRISTOPHER",
        "middle_name": "T",
        "credential": "MPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-02-19",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "WA",
            "license": "PT00009065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Spokane Valley, WA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.