Active NPI
Jennifer A Holtzer, P.T., D.P.T.
- Physical Therapist
- Southington, CT
National Provider Identifier
1932710878
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12782
- Practice address
- 360 N Main St Ste 9
Southington, CT 06489-2503 - Phone
- (860) 621-7289
- Fax
- (860) 621-2586
- NPI assigned
- Aug 13, 2020
- Last updated
- Aug 13, 2020
- Sex
- Female
- 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 | 12782 | CT | Primary |
Addresses
Primary practice location
360 N Main St Ste 9
Southington, CT 06489-2503
Mailing address
1377 Motor Pkwy Ste 307
Islandia, NY 11749-5258
Phone (631) 580-5200
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": "1597276800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1597276800000",
"number": "1932710878",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1377 MOTOR PKWY STE 307",
"city": "ISLANDIA",
"state": "NY",
"postal_code": "117495258",
"telephone_number": "631-580-5200",
"fax_number": "631-760-8306"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "360 N MAIN ST STE 9",
"city": "SOUTHINGTON",
"state": "CT",
"postal_code": "064892503",
"telephone_number": "860-621-7289",
"fax_number": "860-621-2586"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZER",
"first_name": "JENNIFER",
"middle_name": "A",
"credential": "P.T., D.P.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-08-13",
"last_updated": "2020-08-13",
"certification_date": "2020-08-13",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "CT",
"license": "12782",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Southington, CT
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.