JEREMY HOLMAN D.P.T.
NPI 1639568017
Physical Therapist in San Diego, CA
About Jeremy Holman D.p.t. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
JEREMY HOLMAN D.P.T. (NPI 1639568017) is an individual physical therapist in San Diego, California, licensed in California (42120) and active in the NPI registry since January 2015. He is a graduate of Other (2014).
NPPES Registry Identity
Specialties & Licenses
- Diagnose and manage movement dysfunction and enhance physical and functional abilities.
- Restore, maintain, and promote not only optimal physical function but optimal wellness and fitness and optimal quality of life as it relates to movement and health.
- Prevent the onset, symptoms, and progression of impairments, functional limitations, and disabilities that may result from diseases, disorders, conditions, or injuries.
- Treat conditions of the musculoskeletal, neuromuscular, cardiovascular, pulmonary, and/or integumentary systems.
- Address the negative effects attributable to unique personal and environmental factors as they relate to human performance.
Other Identifiers 1
Medicare Participation & PECOS CMS
Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Jeremy Holman D.p.t. is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Billing Reassignment
Medicare enrollment records show Jeremy Holman reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.
San Diego, CA 92121
- Reassigned Medicare billing, California enrollment
- 28 clinicians in this Medicare group
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Areas of Expertise CMS Part B claims 8
Services this provider delivered to Medicare fee-for-service patients, from the CMS Medicare utilization data. Higher counts generally reflect more experience with a service; care delivered outside Medicare is not included.
Other Providers at the Same Location NPPES 5
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Jeremy Holman's NPI number?
The NPI number for Jeremy Holman is 1639568017. It was assigned to this individual provider in the NPPES registry on January 22, 2015.
Where is Jeremy Holman located?
Jeremy Holman practices at 3145 Rosecrans St Ste F, San Diego, CA 92110. The listed phone number is (619) 223-7475.
What is Jeremy Holman's specialty?
The primary specialty registered for this NPI is Physical Therapist with taxonomy code 225100000X.
Is Jeremy Holman enrolled in Medicare?
Yes. Jeremy Holman is registered in the Medicare PECOS enrollment system.
Which organization bills Medicare for Jeremy Holman's services?
According to the CMS Revalidation Reassignment List (October 2026 release), Jeremy Holman reassigns Medicare benefits to Barbara Jean Boutelle Carlsbad Physical Therapy (San Diego, CA). The reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Jeremy Holman's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.
When was this NPI record last updated?
The NPPES record for Jeremy Holman was last updated on August 30, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.