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

Jordan William Holm, PT

Individual provider Physical Therapist · NPI 1689416216

Jordan William Holm, PT is a Physical Therapist in Private Practice in Monument, Colorado. Practices with Northgate Physical Therapy, PC, a 2-clinician group and accepts Medicare assignment. Licensed in Colorado.

Licensed in
CO
In the registry since
2024
What do these letters mean?
PT — Physical Therapist
A licensed therapist who treats movement, pain and injury.

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Practice location Address checks out

16055 Old Forest Pt Ste 101B
Monument, CO 80132-8670
Phone: (719) 247-8916
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 0019888 (CO)

Record details

NPI number1689416216
Entity typeIndividual (Type 1)
GenderMale
Credentials PT
Sole proprietorNo
NPI enumeratedJune 12, 2024
Last updated in NPPESJune 12, 2024
Certification dateJune 12, 2024

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Group practice Northgate Physical Therapy, P.C. — 2 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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