Active NPI
Matthew Tameichi Holt, DPT
- Physical Therapist
- Mesquite, NV
National Provider Identifier
1801117239
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 2436
- Practice address
- 1301 Bertha Howe Ave
Suite 7
Mesquite, NV 89027 - Phone
- (702) 346-1899
- Fax
- (702) 346-8581
- NPI assigned
- Jun 21, 2010
- 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 | 2436 | NV | Primary |
Addresses
Primary practice location
1301 Bertha Howe Ave
Suite 7
Mesquite, NV 89027
Mailing address
P.O. Box 757
Mesquite, NV 89024
Phone (702) 346-1899
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1277078400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1277942400000",
"number": "1801117239",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 757",
"city": "MESQUITE",
"state": "NV",
"postal_code": "89024",
"telephone_number": "702-346-1899",
"fax_number": "702-346-8581"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1301 BERTHA HOWE AVE",
"address_2": "SUITE 7",
"city": "MESQUITE",
"state": "NV",
"postal_code": "89027",
"telephone_number": "702-346-1899",
"fax_number": "702-346-8581"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "MATTHEW",
"middle_name": "TAMEICHI",
"credential": "DPT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2010-06-21",
"last_updated": "2010-07-01",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "NV",
"license": "2436",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Mesquite, NV
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 1, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.