DR. JEFFERSON WAYNE HOLM (NPI# 1740622109) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740622109 |
| Entity Type | Individual |
| Full Name | DR. JEFFERSON WAYNE HOLM |
| Credential | DPT, PT, CBIS |
| Practice Address |
1447 W Elliot Rd # 1 Gilbert AZ 85233-5166 |
| Practice Telephone | 4802447011 |
| Mailing Telephone | 4802447011 |
| Enumeration Date | 2013-07-25 |
| Last Update Date | 2015-07-12 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 2251N0400X |
Physical Therapist Specialization: Neurology |
9343 | AZ | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| N | 2251N0400X |
Physical Therapist Specialization: Neurology |
39016 | CA | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1447 W ELLIOT RD # 1 |
| City | GILBERT |
| State | AZ |
| Zip Code | 85233-5166 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1467063594 | Specialized Education of Arizona, Inc. | Day Training, Developmentally Disabled Services | 875 S. Coooper Rd., Gilbert, AZ 85233 | 2020-08-12 |
| 1336649425 | Jason Diminico | Behavior Technician | 82 W Gilbert Road, Gilbert, AZ 85233 | 2018-02-15 |
| 1508378274 | L & S Az L.L.C. | Family Medicine | 201 W. Guadalupe Rd #102, Gilbert, AZ 85233 | 2017-11-02 |
| 1740799022 | Angel Day Care LLC | Clinic/Center | 815 W Wagner Ct, Gilbert, AZ 85233 | 2017-09-29 |
| 1235656356 | Jason Karstens | Physical Therapist | 1447 West Elliot Road, Suite 101, Gilbert, AZ 85233 | 2017-08-29 |
| 1538684956 | Independent By Design, Pllc | Occupational Therapy Assistant | 835 W Warner Rd Suite 101 - 623, Gilbert, AZ 85233 | 2017-08-07 |
| 1619406998 | Marri Keller | Physical Therapist | 690 Copper Rd, Suite 101, Gilbert, AZ 85233 | 2017-06-08 |
| 1538692470 | Ocotillo Medical Group LLC | Chiropractor | 2815 E. Ocotillo Rd, #4, Chandler, AZ 85233 | 2017-04-07 |
| 1922544634 | Riann Naomi Simmons | Nurse Practitioner | 800 W Elliot Road, Suite 103, Gilbert, AZ 85233 | 2017-01-19 |
| 1154793685 | Laura Beth Masters | Nurse Practitioner | Shelley Staymates, 890 W Elliott #120, Gilbert, AZ 85233 | 2015-10-23 |
| Find all providers in zip 85233 | ||||
| Taxonomy Code | 2251N0400X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Physical Therapist |
| Specialization | Neurology |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194322412 | Karla Marie Tuzzolino | Physical Therapist | 2225 W Southern Ave Ste B, Mesa, AZ 85202-4716 | 2020-10-08 |
| 1932743507 | Haylie M Galloway | Physical Therapist | 3160 N Arizona Ave Ste 106, Chandler, AZ 85225-7122 | 2019-11-06 |
| 1801334941 | Katie Flores | Physical Therapist | 1604 W St Mary's Rd, Tucson, AZ 85745 | 2017-02-09 |
| 1982837100 | Kathleen Grady Smith | Physical Therapist | 7539 E De La O Rd, Scottsdale, AZ 85255-2747 | 2009-09-04 |
| 1760618177 | Tara L Mcisaac | Physical Therapist | 516 W 18th St, Tempe, AZ 85281-6521 | 2009-06-01 |
| 1205921202 | Foothills Sports Medicine & Rehabilitation- Tucson, Inc | Physical Therapist | 7575 W. Twin Peaks Rd, Suite 155, Tucson, AZ 85743 | 2006-10-04 |
| 1336187715 | Neuro Aquatic Rehabilitation Center | Physical Therapist | 2919 E Grant Rd, Tucson, AZ 85716-2717 | 2006-06-04 |
| 1750350773 | Nanette Parfitt Burnett | Physical Therapist | 3896 E Marshall Gulch Pl, Tucson, AZ 85718-2337 | 2006-03-14 |
| 1235778101 | Jason M Callaman | Physical Therapist | 1190 E Missouri Ave Ste 100, Phoenix, AZ 85014-2719 | 2019-12-24 |
| 1942848882 | Christopher Mcelderry | Physical Therapist | 13400 E Shea Blvd, Scottsdale, AZ 85259-5499 | 2019-12-10 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.