Active NPI
Ronald C Holmes, PT
- Physical Therapist
- Taos, NM
National Provider Identifier
1699748509
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 262
- Practice address
- 414 Sipapu St
Taos, NM 87571 - Phone
- (505) 758-8761
- Fax
- (505) 751-0448
- NPI assigned
- Feb 10, 2006
- Last updated
- Oct 17, 2012
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 262 | NM | Primary |
Addresses
Primary practice location
414 Sipapu St
Taos, NM 87571
Mailing address
6955 Ndcbu
Taos, NM 87571
Phone (505) 758-8761
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| N5566 | Medicaid | NM |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 262 | NM | MD | Acupuncturist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1139529600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1350432000000",
"number": "1699748509",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "6955 NDCBU",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-8761",
"fax_number": "505-751-0448"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "414 SIPAPU ST",
"city": "TAOS",
"state": "NM",
"postal_code": "87571",
"telephone_number": "505-758-8761",
"fax_number": "505-751-0448"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "RONALD",
"middle_name": "C",
"credential": "PT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2006-02-10",
"last_updated": "2012-10-17",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NM",
"license": "262",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "N5566",
"state": "NM"
}
],
"endpoints": [],
"other_names": []
}Other providers in Taos, NM
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.