Mark Bradford Holmes, DPT

Primary specialty

Physical TherapistTaxonomy code 225100000X

License

40QA01738800 Issued in NJ

Practice address

605 Main St
Hackensack, NJ 07601-5914

Phone

(201) 488-0488

NPI assigned

Aug 3, 2017

Last updated

Mar 17, 2018By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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 NJ

Enrollment records 1

Specialty

Physical Therapist in Private Practice

Education

Other, 2013

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

MBH Physical Therapy and Sports MedicineGroup PAC ID 9234584566, 3 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.

• MBH Physical Therapy & Sports Medicine

  • Physical Therapist
  • Verona, NJ
  • NPI 1033896147
  Medicare reassignment Care Compare group NPD Authorized official
• Life Home Therapy LLC

  • Physical Therapist
  • Livingston, NJ
  • NPI 1467048777
  Medicare reassignment NPD
• Skyline Physical Therapy LLC

  • Physical Therapy Clinic/Center
  • Wanaque, NJ
  • NPI 1780241851
  Medicare reassignment NPD
• Villani Chiropractic Center LLC

  • Chiropractor
  • Verona, NJ
  • NPI 1861683831
  Medicare reassignment NPD

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

{
    "created_epoch": "1501718400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1521244800000",
    "number": "1720503444",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "64 LINDEN AVE",
            "city": "VERONA",
            "state": "NJ",
            "postal_code": "070442539",
            "telephone_number": "973-207-8776"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "605 MAIN ST",
            "city": "HACKENSACK",
            "state": "NJ",
            "postal_code": "076015914",
            "telephone_number": "201-488-0488"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "80 Pompton Ave",
            "address_purpose": "LOCATION",
            "city": "Verona",
            "state": "NJ",
            "postal_code": "070442945",
            "country_code": "US",
            "telephone_number": "973-857-1119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "MARK",
        "middle_name": "BRADFORD",
        "credential": "DPT",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2017-08-03",
        "last_updated": "2018-03-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NJ",
            "license": "40QA01738800",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hodges-Metamorphosis
• Ayelet Hoenig, WHNP
• Laura Katherine Hoffman, RN
• Nicholas Hoffman, NP
• Mamawa Massally Hollendyke, DNP, CRNA
• Maryann Hom, LCSW
• Home Care Options, LLC (Executive Care)
• Home Health Alliance
• Richard Y Hong, DMD
• Sung Hoon Hong

• Physical Therapist in Hackensack, NJ
• Providers in Hackensack, NJ by specialty
• Physical Therapist in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 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.