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

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 NameJacob Holman
GenderMale
SpecialityPhysical Therapist
Location26672 Portola Pkwy Ste 116, Foothill Ranch, California
Accepts Medicare AssignmentsMedicare 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.
IdentifierTypeStateIssuer
1902513286NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
225100000XPhysical 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 NameProsport Physical Therapy Professionals Inc
Provider TypePart B Supplier - Physical/occupational Therapy Group In Private Practice
Provider IdentifiersNPI 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 AddressPractice 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: Medicare Enrolled
Practice Location: 27442 Portola Pkwy, Suite 200, Foothill Ranch, CA 92610
Phone: 949-282-5900    
Lauren Elizabeth Victor, PT, DPT
Physical Therapist
Medicare: Medicare Enrolled
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
Stephen Mark Ayres, PT DPT
Physical Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 26700 Towne Centre Dr Ste 120, Foothill Ranch, CA 92610
Phone: 949-597-2103    Fax: 949-597-2061

Medicare Program: Medicare is a federal government program which provides health insurance to people who are 65 or older. This program also covers certain younger people with disabilities (who receive Social Security Disability Insurance - SSDI), and people with End-Stage Renal Disease (permanent kidney failure requiring dialysis or a transplant, sometimes called ESRD.

Medicare Assignment: Assignment means that your doctor, provider, or supplier agrees (or is required by law) to accept the Medicare-approved amount as full payment for covered services. Most doctors, providers, and suppliers accept assignment, but you should always check to make sure. Participating providers have signed an agreement to accept assignment for all Medicare-covered services.

NPI Number: The National Provider Identifier (NPI) is a unique identification number for covered health care providers. The NPI must be used in lieu of legacy provider identifiers in the HIPAA standards transactions. Covered health care providers and all health plans and health care clearinghouses must use the NPIs in the administrative and financial transactions adopted under HIPAA (Health Insurance Portability and Accountability Act).

Our Data: Information on www.medicarelist.com is built using data sources published by Centers for Medicare & Medicaid Services (CMS) under Freedom of Information Act (FOIA). The information disclosed on the NPI Registry are FOIA-disclosable and are required to be disclosed under the FOIA and the eFOIA amendments to the FOIA. There is no way to 'opt out' or 'suppress' the NPPES record data for health care providers with active NPIs.