Individual provider Active NPI

Michelle Holt, DPT

  • Physical Therapist
  • Emmett, ID
National Provider Identifier
1750068847
Registry record updated Aug 8, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT-2554 Issued in ID
Practice address
809 S Washington Ave
Emmett, ID 83617-3528
Phone
(208) 365-5341
Fax
(208) 365-5342
NPI assigned
Jun 29, 2023
Last updated
Aug 8, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2023

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 PT-2554 ID Primary

Addresses

Primary practice location

809 S Washington Ave
Emmett, ID 83617-3528

Mailing address

PO Box 2072
Eagle, ID 83616-9111
Phone (208) 477-7363

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

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Physical Therapy P C Physical Therapist CurrentSince Aug 1, 2023 Accepting new patients
Rehabauthority, LLC Physical Therapist CurrentSince Jul 10, 2023 Accepting new patients
Institute of Physical Therapy and Fitness Physical Therapist Past Accepting new patients
Gem Rehabilitation Services, Inc. Physical Therapist PastSince Aug 1, 2023 Accepting new patients

Locations

10790 W Overland Rd
Boise, ID 83709
Phone (208) 322-8709

5520 N Eagle Rd
Ste 102
Boise, ID 83713
Phone (208) 938-5255

7550 W Emerald St
Ste 101
Boise, ID 83704
Phone (208) 375-0666

120 E Pine St
Caldwell, ID 83605
Phone (208) 454-5142

809 S Washington Ave
Emmett, ID 83617
Phone (208) 365-5341

134 E Idaho Ave
Homedale, ID 83628
Phone (208) 337-3254

720 S Woodruff Ave
Idaho Falls, ID 83401
Phone (208) 322-8709

825 W Deer Flat Rd
#100
Kuna, ID 83634
Phone (208) 268-0104

678 Southway Ave
Lewiston, ID 83501
Phone (208) 746-1418

745 S Progress Ave
Meridian, ID 83642
Phone (208) 895-0309

337 W Iowa Ave
Nampa, ID 83686
Phone (208) 305-6838

64 S Star Rd
#2
Star, ID 83669
Phone (208) 488-4250

2600 Dallas Pkwy
Ste 290
Frisco, TX 75034
Phone (945) 260-0010

Organizations & group practices 4

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": "1687996800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1691452800000",
    "number": "1750068847",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2072",
            "city": "EAGLE",
            "state": "ID",
            "postal_code": "836169111",
            "telephone_number": "208-477-7363"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "809 S WASHINGTON AVE",
            "city": "EMMETT",
            "state": "ID",
            "postal_code": "836173528",
            "telephone_number": "208-365-5341",
            "fax_number": "208-365-5342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MICHELLE",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-29",
        "last_updated": "2023-08-08",
        "certification_date": "2023-08-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "ID",
            "license": "PT-2554",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Emmett, ID

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.