Individual provider Active NPI

Robert E Holtby, MA PT

  • Orthopedic Physical Therapist
  • Colorado Springs, CO
National Provider Identifier
1568425981
Registry record updated Sep 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
2755 Issued in CO
Practice address
1825 Austin Bluffs Pkwy
100
Colorado Springs, CO 80918-7871
Phone
(719) 599-8550
Fax
(719) 218-9200
NPI assigned
Apr 7, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 14, 2009

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X 2755 CO Primary

Addresses

Primary practice location

1825 Austin Bluffs Pkwy
100
Colorado Springs, CO 80918-7871

Mailing address

1825 Austin Bluffs Pkwy
100
Colorado Springs, CO 80918-7871
Phone (719) 599-8550

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
Credentials
Master of Arts

Practice roles

OrganizationSpecialtyStatusNew patients
Holtby & Bonack PTR Orthopedic PastSince Sep 20, 1990 Accepting new patients

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": "1144368000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1252886400000",
    "number": "1568425981",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1825 AUSTIN BLUFFS PKWY",
            "address_2": "100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187871",
            "telephone_number": "719-599-8550",
            "fax_number": "719-218-9200"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1825 AUSTIN BLUFFS PKWY",
            "address_2": "100",
            "city": "COLORADO SPRINGS",
            "state": "CO",
            "postal_code": "809187871",
            "telephone_number": "719-599-8550",
            "fax_number": "719-218-9200"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTBY",
        "first_name": "ROBERT",
        "middle_name": "E",
        "name_prefix": "Mr.",
        "credential": "MA PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-04-07",
        "last_updated": "2009-09-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "CO",
            "license": "2755",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Colorado Springs, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2009; 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.