Jordan William Holm, PT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

0019888 Issued in CO

Practice address

16055 Old Forest PT Ste 101B
Monument, CO 80132-8670

Phone

(719) 247-8916

NPI assigned

Jun 12, 2024

Last updated

Jun 12, 2024By 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

Enrolled in CO

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Northgate Physical Therapy, P.C.Group PAC ID 9133536428, 2 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Northgate Physical Therapy, P.C.

  • Physical Therapy Clinic/Center
  • Monument, CO
  • NPI 1942548839

  Physical Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1718150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1718150400000",
    "number": "1689416216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16055 OLD FOREST PT STE 101B",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328670",
            "telephone_number": "719-247-8916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16055 OLD FOREST PT STE 101B",
            "city": "MONUMENT",
            "state": "CO",
            "postal_code": "801328670",
            "telephone_number": "719-247-8916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLM",
        "first_name": "JORDAN",
        "middle_name": "WILLIAM",
        "credential": "PT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-12",
        "last_updated": "2024-06-12",
        "certification_date": "2024-06-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "CO",
            "license": "0019888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Roger H Hill, PT
• Kahealani Hoff
• Laura Lea Hoffman, R.D.H.
• Trista Marie Hofschulte, CNIM
• Savannah Hoke
• Courtney Hopkins
• Hailey Evelyn Hovland
• Stephanie E Huffman
• Gayle A Humm, M.D.
• Dekka Hunley, COTA/L

• Physical Therapist in Monument, CO
• Providers in Monument, CO by specialty
• Physical Therapist in Colorado

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2024; 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.

Verify at the official NPI Registry.