Active NPI
Bridget Ann Holdar, MS PT
- Physical Therapist
- Las Vegas, NV
National Provider Identifier
1730121419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 1339
- Practice address
- 4765 S Durango Dr
Suite #106
Las Vegas, NV 89147-8145 - Phone
- (702) 898-7633
- NPI assigned
- Jun 10, 2006
- Sex
- Female
- 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 | 1339 | NV | Primary |
Addresses
Primary practice location
4765 S Durango Dr
Suite #106
Las Vegas, NV 89147-8145
Mailing address
436 Woodridge Dr
Henderson, NV 89015-6041
Phone (702) 568-7184
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 1339 | NV | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Brandon Jackson PT | Past | Accepting new patients | |
| Brandon Jackson, P T | Physical Therapist | Past | Accepting new patients |
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
dba Jackson Physical Therapy and Sports Medicine
- Sports Physical Therapist
- Las Vegas, NV
- NPI 1205266764
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1149897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1783900800000",
"number": "1730121419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "436 WOODRIDGE DR",
"city": "HENDERSON",
"state": "NV",
"postal_code": "890156041",
"telephone_number": "702-568-7184"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4765 S DURANGO DR",
"address_2": "SUITE #106",
"city": "LAS VEGAS",
"state": "NV",
"postal_code": "891478145",
"telephone_number": "702-898-7633"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLDAR",
"first_name": "BRIDGET",
"middle_name": "ANN",
"credential": "MS PT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-06-10",
"last_updated": "2026-07-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "1339",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Las Vegas, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.