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DR. JEFFERSON WAYNE HOLM DPT PT CBIS NPI 1740622109


NPI Information

NPI: 1740622109
Provider Name: DR. JEFFERSON WAYNE HOLM, DPT, PT, CBIS
Classification: Physical Therapist - 2251N0400X
Entity Type: Individual

Specialization: Neurology

Address:
3961 E GUADALUPE RD STE 1
GILBERT, AZ
ZIP 85234
Phone: (480) 699-4845
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DR. Jefferson Wayne Holm, DPT, PT, CBIS is a neurology physical therapist in Gilbert, AZ with 13 years of experience. The provider is a licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Neurologic Physical Therapy, who has demonstrated specialized knowledge and skill in neuroanatomy and neurophysiology, including knowledge of central, peripheral, and autonomic nervous systems in populations with and without neurologic conditions; motor control and movement sciences in populations with and without neurologic conditions; behavioral sciences, including psychology and neuropsychology, and psychiatry; and medical management and pharmacology. DR. Jefferson Wayne Holm, DPT, PT, CBIS NPI is 1740622109. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

Education
Medical School: UNIVERSITY OF PITTSBURGH SCHOOL OF MEDICINE
Graduation Year:2011

The provider's business location address is:

3961 E GUADALUPE RD STE 1
GILBERT, AZ
ZIP 85234-266
Phone: (480) 699-4845
Fax: (480) 699-5085

The following top HCPCS codes were publicly reported for this provider under the Medicare program for the year 2016. The reported codes are based on the top codes for each available Medicare specialty, excluding evaluation and management codes.

  • Therapeutic activities to improve function, with one-on-one contact between patient and provider, each 15 minutes (HCPCS:97530)
  • Therapeutic exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes (HCPCS:97110)
  • Therapeutic procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes (HCPCS:97112)
  • Manual (physical) therapy techniques to 1 or more regions, each 15 minutes (HCPCS:97140)
  • Evaluation of physical therapy, typically 30 minutes (HCPCS:97162)

The enumeration date for this NPI number is 7/25/2013 and was last updated on 8/14/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
12251N0400XPhysical TherapistNeurology39016CALIFORNIANo
22251N0400XPhysical TherapistNeurology9343ARIZONAYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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