Active NPI
Xarles Xavier Holt, PT, DPT, SCS
- Physical Therapist
- Tucson, AZ
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 31915
- 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
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 | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Direct Messaging Address | xholt@goldenbearpt.com | Direct |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AZ, IL
Enrollment records 2
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
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
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Bodycentral Physical Therapy PC | Current | Accepting new patients | |
| Bodycentral Physical Therapy P C | Current | 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.
-
- Physical Therapy Clinic/Center
- Tucson, AZ
- NPI 1629057930
-
- Orthopaedic Surgery Physician
- Bannockburn, IL
- NPI 1205922432
-
- Customized Equipment (DME)
- Tucson, AZ
- NPI 1780899369
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.