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

Jeremy Holman, DPT

Individual provider Physical Therapist · NPI 1639568017

Jeremy Holman, DPT is a Physical Therapist in Private Practice in San Diego, California. Qualified in 2014, 12 years ago. Practices with Barbara Jean Boutelle Carlsbad Physical Therapy, a 15-clinician group. Licensed in California.

Years since qualifying
12
Licensed in
CA
In the registry since
2015
What do these letters mean?
DPT — Doctor of Physical Therapy
The doctoral degree now required to enter physical therapy practice.

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Practice location Address checks out

3145 Rosecrans St Ste F
San Diego, CA 92110-4831
Phone: (619) 223-7475
Fax: (619) 223-7030
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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 42120 (CA)

Record details

NPI number1639568017
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorNo
NPI enumeratedJanuary 22, 2015
Last updated in NPPESAugust 30, 2022
Certification dateAugust 30, 2022

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2014 (12 years in practice)
Group practice Barbara Jean Boutelle Carlsbad Physical Therapy — 15 clinicians
Accepts Medicare assignment Not indicated

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