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

Individual provider Physical Therapist · NPI 1720503444

Mark Bradford Holmes, DPT is a Physical Therapist in Private Practice in Hackensack, New Jersey. Qualified in 2013, 13 years ago. Practices with Mbh Physical Therapy and Sports Medicine, a 3-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in New Jersey.

Years since qualifying
13
Licensed in
NJ
In the registry since
2017
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

605 Main St
Hackensack, NJ 07601-5914
Phone: (201) 488-0488
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 80 Pompton Ave, Verona, NJ 07044-2945 — (973) 857-1119

Specialties & licences

Physical Therapist (primary) Taxonomy 225100000X · Licence 40QA01738800 (NJ)

Record details

NPI number1720503444
Entity typeIndividual (Type 1)
GenderMale
Credentials DPT
Sole proprietorYes
NPI enumeratedAugust 3, 2017
Last updated in NPPESMarch 17, 2018
Mailing address64 Linden Ave, Verona, NJ 07044-2539

Medicare enrollment

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

Medicare specialtyPHYSICAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2013 (13 years in practice)
Group practice Mbh Physical Therapy And Sports Medicine — 3 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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