Individual provider Active NPI

Hunter Holeman

  • Physical Therapist
  • West Des Moines, IA
National Provider Identifier
1710378369
Registry record updated Oct 24, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
075456 Issued in IA
Practice address
2850 Westown Pkwy
West Des Moines, IA 50266-1301
Phone
(515) 224-5225
Fax
(515) 224-5235
NPI assigned
Feb 17, 2015
Last updated
Oct 24, 2018By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 24, 2018

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 075456 IA Primary

Addresses

Primary practice location

2850 Westown Pkwy
West Des Moines, IA 50266-1301

Mailing address

1200 Pleasant Street
South 2 Room 236
Des Moines, IA 50309-1406
Phone (515) 241-6228

Other practice location 1

55 Central Iowa Dr
Marshalltown, IA 50158-5983
Phone (641) 754-6120

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in IA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20150325001773 IA Practitioner - Physical Therapist in Private Practice 4284951567 Reassigns benefits to 3 organizations

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
University of Kentucky College of Medicine, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Younker Rehabilitation Therapy Services LLCGroup PAC ID 2062799810, 47 clinicians

Practice addresses (Care Compare)

2850 Westown Pkwy
West Des Moines, IA 50266-1301
Phone (515) 224-5225

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Iowa Physio LLC Physical Therapist CurrentSince Aug 1, 2015 Accepting new patients
Younker Rehabilitation Therapy Services, LLC Physical Therapist CurrentSince Oct 27, 2018 Accepting new patients
Central Iowa Physio LLC Current Accepting new patients
Absolute Performance Therapy, PC Physical Therapist CurrentSince Oct 16, 2017 Accepting new patients
Central Iowa Physio, LLC CurrentSince Aug 1, 2015 Accepting new patients

Locations

1200 Pleasant St
Rm 236
Des Moines, IA 50309
Phone (515) 241-6228

3200 Grand Ave
Des Moines, IA 50312
Phone (515) 271-1700

1307 S Broadway St
Toledo, IA 52342
Phone (641) 484-5253

225 E Hickman Rd
Waukee, IA 50263
Phone (515) 987-6267

2850 Westown Pkwy
West Des Moines, IA 50266
Phone (515) 224-5225

Organizations & group practices 5

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": "1424131200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540339200000",
    "number": "1710378369",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1200 PLEASANT STREET",
            "address_2": "SOUTH 2 ROOM 236",
            "city": "DES MOINES",
            "state": "IA",
            "postal_code": "503091406",
            "telephone_number": "515-241-6228",
            "fax_number": "515-241-8685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2850 WESTOWN PKWY",
            "city": "WEST DES MOINES",
            "state": "IA",
            "postal_code": "502661301",
            "telephone_number": "515-224-5225",
            "fax_number": "515-224-5235"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "55 Central Iowa Dr",
            "address_purpose": "LOCATION",
            "city": "Marshalltown",
            "state": "IA",
            "postal_code": "501585983",
            "country_code": "US",
            "telephone_number": "641-754-6120",
            "fax_number": "641-754-6154",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLEMAN",
        "first_name": "HUNTER",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2015-02-17",
        "last_updated": "2018-10-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "IA",
            "license": "075456",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Des Moines, IA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2018; 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.