Bridget Ranae Jacobs-Holmes, RPT

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

11421 Issued in MA

Practice address

3 Woodland Rd
Springfield, MA 01129-2120

Phone

(413) 455-1697

NPI assigned

Sep 19, 2005

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1127088000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283817600000",
    "number": "1831184571",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011292120",
            "telephone_number": "413-455-1697"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3 WOODLAND RD",
            "city": "SPRINGFIELD",
            "state": "MA",
            "postal_code": "011292120",
            "telephone_number": "413-455-1697"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JACOBS-HOLMES",
        "first_name": "BRIDGET",
        "middle_name": "RANAE",
        "name_prefix": "Mrs.",
        "credential": "RPT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2005-09-19",
        "last_updated": "2010-09-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "MA",
            "license": "11421",
            "primary": true
        },
        {
            "code": "2251G0304X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Geriatrics",
            "state": "MA",
            "license": "11421",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joshua Jackson
• Rainelle Jackson
• Talaisha Jackson
• Jackcy Jacob, MD
• Mithun George Jacob, MD
• Barry R Jacobs, MD
• Carla F Jacobs, DO
• Jakyira Jacobs
• Dayna Jacobson, P.A.-C
• Anne G Jacque, R.D.

• Pediatric Physical Therapist in Springfield, MA
• Providers in Springfield, MA by specialty
• Pediatric Physical Therapist in Massachusetts

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 7, 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.

Verify at the official NPI Registry.