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

Lars E Holmberg, PTA

Individual provider Physical Therapy Assistant · NPI 1699236075

Lars E Holmberg, PTA is a Physical Therapy Assistant in San Jose, California. Registered with an NPI since 2019.

In the registry since
2019
What do these letters mean?
PTA — Physical Therapist Assistant
Delivers treatment under a physical therapist's direction.

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Practice location Address checks out

1505 Meridian Ave Ste A
San Jose, CA 95125-5353
Phone: (408) 264-6643
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Physical Therapy Assistant (primary) Taxonomy 225200000X

Record details

NPI number1699236075
Entity typeIndividual (Type 1)
GenderMale
Credentials PTA
Sole proprietorNo
NPI enumeratedMarch 27, 2019
Last updated in NPPESMarch 27, 2019
Mailing address1505 Meridian Ave Ste A, San Jose, CA 95125-5353

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