Individual provider Active NPI

Jakob Holmes, DPT

  • Orthopedic Physical Therapist
  • Philadelphia, PA
National Provider Identifier
1992547194
Registry record updated Jun 10, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Orthopedic Physical TherapistTaxonomy code 2251X0800X
License
TPT023861 Issued in PA
Practice address
709 N 2ND St Ste 200
Philadelphia, PA 19123-3108
Phone
(267) 529-0080
NPI assigned
Jun 10, 2024
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Orthopedic Physical Therapist 2251X0800X TPT023861 PA Primary

Addresses

Primary practice location

709 N 2ND St Ste 200
Philadelphia, PA 19123-3108

Mailing address

268 Ripka St
Philadelphia, PA 19127-1125

Other practice location 1

1600 Bethlehem Pike
Flourtown, PA 19031-2026
Phone (215) 233-9677

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in PA

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250217002944 PA Practitioner - Physical Therapist in Private Practice 0648790964 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Physical Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Progress Physical Therapy LLCGroup PAC ID 1951530849, 430 clinicians

Practice addresses (Care Compare)

1800 JFK Blvd
Suite 1800
Philadelphia, PA 19103-7434
Phone (215) 634-9713

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
TPT023861PAMDOrthopedic Physical Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Progress Physical Therapy LLC Orthopedic CurrentSince Feb 12, 2025 Accepting new patients
Orthopedic and Sports Physical Therapy Services, Inc. Orthopedic CurrentSince Jun 16, 2024 Accepting new patients
Wallace & Nilan Physical Therapy and Fitness, LLC Orthopedic PastSince May 21, 2011 Accepting new patients

Locations

1600 Bethlehem Pike
Flourtown, PA 19031
Phone (215) 233-9677

709 N 2nd St
Ste 200
Philadelphia, PA 19123
Phone (267) 529-0080

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": "1717977600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1717977600000",
    "number": "1992547194",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "268 RIPKA ST",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191271125"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "709 N 2ND ST STE 200",
            "city": "PHILADELPHIA",
            "state": "PA",
            "postal_code": "191233108",
            "telephone_number": "267-529-0080"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1600 Bethlehem Pike",
            "address_purpose": "LOCATION",
            "city": "Flourtown",
            "state": "PA",
            "postal_code": "190312026",
            "country_code": "US",
            "telephone_number": "215-233-9677",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "JAKOB",
        "credential": "DPT",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2024-06-10",
        "last_updated": "2024-06-10",
        "certification_date": "2024-06-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2251X0800X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Orthopedic",
            "state": "PA",
            "license": "TPT023861",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Philadelphia, PA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 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.