Dalton Matthew Holemo, ATC

Primary specialty

Athletic TrainerTaxonomy code 2255A2300X

License

2000053441

Practice address

3031 Garrison Rd
Dunedin, FL 34698-9212

Phone

(302) 331-8554

NPI assigned

May 29, 2023

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

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

{
    "created_epoch": "1685318400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1685318400000",
    "number": "1871286765",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2170 FARMINGTON RD",
            "city": "HARRINGTON",
            "state": "DE",
            "postal_code": "199523324",
            "telephone_number": "302-331-8554"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3031 GARRISON RD",
            "city": "DUNEDIN",
            "state": "FL",
            "postal_code": "346989212",
            "telephone_number": "302-331-8554"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLEMO",
        "first_name": "DALTON",
        "middle_name": "MATTHEW",
        "credential": "ATC",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2023-05-29",
        "last_updated": "2023-05-29",
        "certification_date": "2023-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2255A2300X",
            "taxonomy_group": "",
            "desc": "Specialist/Technologist, Athletic Trainer",
            "state": null,
            "license": "2000053441",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Philip Hibnick, MHA, BCIA
• Charlotte Hicks, D.C.
• Shawn Hill
• Catherine Hofacker, OTR/L
• Thomas A. Hoffman Jr., MD
• Holiday CVS LLC
• Holiday CVS LLC
• Debra J Holtz, CRNA
• Jessica Michelle Hood, PA-C
• Harold Mikel Hopkins, DDS

• All providers in Dunedin, FL
• Athletic Trainer in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 29, 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.