Jacob Holland

Primary specialty

Physical TherapistTaxonomy code 225100000X

Practice address

350 S Main St
Florence, AZ 85132

Phone

(520) 868-0098

Fax

(520) 868-1098

NPI assigned

Jun 6, 2018

Last updated

Jun 6, 2018By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

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.

• Affinity Physical Therapy, LLC

  • Physical Therapist
  • Florence, AZ
  • NPI 1114322807
  NPD (past)
• Recovia LLC

  • Specialist
  • Phoenix, AZ
  • NPI 1427421098
  NPD (past)

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

{
    "created_epoch": "1528243200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1528243200000",
    "number": "1609368513",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1400",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "851323028",
            "telephone_number": "520-868-0098",
            "fax_number": "520-868-1098"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "350 S MAIN ST",
            "city": "FLORENCE",
            "state": "AZ",
            "postal_code": "85132",
            "telephone_number": "520-868-0098",
            "fax_number": "520-868-1098"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "21300 N John Wayne Pkwy Ste 107",
            "address_purpose": "LOCATION",
            "city": "Maricopa",
            "state": "AZ",
            "postal_code": "851398964",
            "country_code": "US",
            "telephone_number": "520-868-6100",
            "fax_number": "520-868-6106",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1491 N Arizona Blvd Ste 109",
            "address_purpose": "LOCATION",
            "city": "Coolidge",
            "state": "AZ",
            "postal_code": "851283261",
            "country_code": "US",
            "telephone_number": "520-424-2222",
            "fax_number": "520-424-2646",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "3930 S Alma School Rd Ste 3",
            "address_purpose": "LOCATION",
            "city": "Chandler",
            "state": "AZ",
            "postal_code": "852484510",
            "country_code": "US",
            "telephone_number": "480-899-9829",
            "fax_number": "480-729-9829",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "JACOB",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2018-06-06",
        "last_updated": "2018-06-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Ellis Harrison, PHARMD
• Heals on Wheels
• Kimberly Hearn
• Camille Ann Hernandez, PSYD
• Jessica Hewitt
• Lee Holliday, FNP
• Ashlyn Rebekah Holmes
• Honorhealth
• Honorhealth Ambulatory
• Honorhealth Ambulatory

• Physical Therapist in Florence, AZ
• Providers in Florence, AZ by specialty
• Physical Therapist in Arizona

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 6, 2018; 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.