Individual provider Active NPI

Xarles Xavier Holt, PT, DPT, SCS

  • Physical Therapist
  • Tucson, AZ
National Provider Identifier
1881368587
Registry record updated Jul 2, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
31915 Issued in AZ
Practice address
1040 S Harrison Rd Ste 100
Tucson, AZ 85748-6601
Phone
(520) 485-5454
Fax
(520) 325-4002
NPI assigned
Aug 5, 2021
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 2, 2024

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 31915 AZ Primary

Addresses

Primary practice location

1040 S Harrison Rd Ste 100
Tucson, AZ 85748-6601

Mailing address

77 N Camino Seco Apt 281
Tucson, AZ 85710-2972
Phone (217) 251-7645

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address xholt@goldenbearpt.com Direct

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AZ, IL2 enrollments

Enrollment records 2

Enrollment IDStateProvider typePAC IDDetails
I20211203001466 AZ Practitioner - Physical Therapist in Private Practice 8426448515 Reassigns benefits to 1 organization
I20260515001036 IL Practitioner - Physical Therapist in Private Practice 8426448515 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Illinois Bone and Joint Institute, LLCGroup PAC ID 6002814878, 603 clinicians
Bodycentral Physical Therapy PCGroup PAC ID 2466348701, 43 clinicians

Practice addresses (Care Compare)

1919 Skokie Valley Rd
Highland Park, IL 60035-2361
Phone (847) 375-3000

1991 E Ajo Way
Suite 149
Tucson, AZ 85713-6269
Phone (520) 325-4002

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Bodycentral Physical Therapy PC CurrentSince Oct 30, 2021 Accepting new patients
Bodycentral Physical Therapy P C CurrentSince Oct 30, 2021 Accepting new patients

Locations

1040 S Harrison Rd
Ste 100
Tucson, AZ 85748
Phone (205) 357-1174

3124 N Swan Rd
Tucson, AZ 85712
Phone (520) 276-1274

7493 E Tanque Verde Rd
Tucson, AZ 85715
Phone (520) 355-4154

1991 E Ajo Way
Ste 149
Tucson, AZ 85713
Phone (520) 485-5454

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1628121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1719878400000",
    "number": "1881368587",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "77 N CAMINO SECO APT 281",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857102972",
            "telephone_number": "217-251-7645"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1040 S HARRISON RD STE 100",
            "city": "TUCSON",
            "state": "AZ",
            "postal_code": "857486601",
            "telephone_number": "520-485-5454",
            "fax_number": "520-325-4002"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "XARLES",
        "middle_name": "XAVIER",
        "name_prefix": "Dr.",
        "credential": "PT, DPT, SCS",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2021-08-05",
        "last_updated": "2024-07-02",
        "certification_date": "2024-07-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "AZ",
            "license": "31915",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "xholt@goldenbearpt.com",
            "affiliation": "N",
            "endpointDescription": "Work Email",
            "use": "DIRECT",
            "useDescription": "Direct",
            "address_1": "1991 E Ajo Way Ste 149",
            "city": "Tucson",
            "state": "AZ",
            "country_code": "US",
            "postal_code": "857136269",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Tucson, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 2, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.