Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Jennifer Holbourn, PTMOMTFAAOMT

Individual provider Physical Therapist · NPI 1003964560

Jennifer Holbourn, PTMOMTFAAOMT is a Physical Therapist in Private Practice in Memphis, Tennessee. Qualified in 1972, 54 years ago. Practices as a sole proprietor and accepts Medicare assignment. Licensed in Tennessee.

Years since qualifying
54
Licensed in
TN
In the registry since
2007
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Practice location Address checks out

612 S Cooper St
Memphis, TN 38104-5352
Phone: (901) 272-2822
Fax: (901) 272-2823
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 5685 (TN)

Record details

NPI number1003964560
Entity typeIndividual (Type 1)
GenderFemale
Credentials PTMOMTFAAOMT
Sole proprietorYes
NPI enumeratedJanuary 8, 2007
Last updated in NPPESJune 1, 2015

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 1972 (54 years in practice)
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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