Jacob Holman, DPT in Foothill Ranch, CA - Medicare Physical Therapist Provider

Jacob Holman, DPT is a medicare enrolled "Physical Therapist" provider in Foothill Ranch, California. His current practice location is 26672 Portola Pkwy Ste 116, Foothill Ranch, California. You can reach out to his office (for appointments etc.) via phone at (800) 788-5753.

Jacob Holman is licensed to practice in * (Not Available) (license number ) and he also participates in the medicare program. He does not accept medicare assignments directly but he may accept medicare through third-party (refer to Reassignment section below) and may also prescribe medicare part D drugs. His NPI Number is 1902513286.

Contact Information

	Jacob Holman, DPT
	26672 Portola Pkwy Ste 116, Foothill Ranch, CA 92610-1773
	(800) 788-5753
	Not Available

Map and Direction

Healthcare Provider's Profile

Full Name	Jacob Holman
Gender	Male
Speciality	Physical Therapist
Location	26672 Portola Pkwy Ste 116, Foothill Ranch, California
Accepts Medicare Assignments	Medicare enrolled and may accept medicare through third-party reassignment. May prescribe medicare part D drugs.

NPI Data:

NPI Number: 1902513286
Provider Enumeration Date: 11/04/2022
Last Update Date: 11/04/2022

Medicare PECOS Information:

PECOS PAC ID: 5597133157
Enrollment ID: I20221201002787

Medical Identifiers

Medical identifiers for Jacob Holman such as npi, medicare ID, medicare PIN, medicaid, etc.

Identifier	Type	State	Issuer
1902513286	NPI	-	NPPES

Medical Taxonomies and Licenses

Taxonomy	Type	License (State)	Status
225100000X	Physical Therapist	(* (Not Available))	Primary

Medicare Reassignments

Some practitioners may not bill the customers directly but medicare billing happens through clinics / group practice / hospitals where the provider works. Medicare reassignment of benefits is a mechanism by which practitioners allow third parties to bill and receive payment for medicare services performed by them. Jacob Holman allows following entities to bill medicare on his behalf.

Provider Name	Prosport Physical Therapy Professionals Inc
Provider Type	Part B Supplier - Physical/occupational Therapy Group In Private Practice
Provider Identifiers	NPI Number: 1073170437 PECOS PAC ID: 0749510634 Enrollment ID: O20200304001273

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Jacob Holman is enrolled with medicare and thus, if eligible, can prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing Address	Practice Location Address
Jacob Holman, DPT 23592 Windsong Apt 15c, Aliso Viejo, CA 92656-1368 Ph: (760) 420-5148	Jacob Holman, DPT 26672 Portola Pkwy Ste 116, Foothill Ranch, CA 92610-1773 Ph: (800) 788-5753

Reviews and Comments

Physical Therapist in Foothill Ranch, CA

Amy Cole, PT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27442 Portola Pkwy, Suite 200, Foothill Ranch, CA 92610 Phone: 949-282-5900
Lauren Elizabeth Victor, PT, DPT Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 26672 Portola Pkwy Ste 116, Foothill Ranch, CA 92610 Phone: 800-788-5753
Christopher Stalewski, Physical Therapist Medicare: Not Enrolled in Medicare Practice Location: 27442 Portola Pkwy, 200, Foothill Ranch, CA 92610 Phone: 310-836-8900
Nikita Desai, PT, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26672 Portola Pkwy Ste 116, Foothill Ranch, CA 92610 Phone: 800-788-5753
Kelly Muller, DPT Physical Therapist Medicare: Accepting Medicare Assignments Practice Location: 27442 Portola Pkwy Ste 200, Foothill Ranch, CA 92610 Phone: 760-409-6383
Parita Vipul Shah, PT DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26700 Towne Centre Dr Ste 120, Foothill Ranch, CA 92610 Phone: 949-597-2103 Fax: 949-597-2061
Brandon Funai, DPT Physical Therapist Medicare: Medicare Enrolled Practice Location: 26672 Portola Pkwy Ste 116, Foothill Ranch, CA 92610 Phone: 949-518-1220

Jacob Holman, DPT - Medicare Physical Therapist in Foothill Ranch, CA