SYDNEY HOLTON – Physical Therapist, NPI 1003633090

SYDNEY HOLTON is a healthcare provider. based in Jackson, Alabama. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold a License No. PTH12017 (AL). The NPI Number for SYDNEY HOLTON is 1003633090

Main info

Female
2 Years Of Experience
Accepts Medicare Assignment
Name
SYDNEY HOLTON
NPI
1003633090
Phone
(251) 246-5761
Address
1711 COLLEGE AVE
Enumeration Date
23 September 2024
Last Update Date
23 September 2024

Doctor Profile

Medical School Name
OTHER
Secondary Phone
2512465761
Graduation Year
2024 (2 years ago)
PAC ID
4486187952
Group Practice PAC ID
3476535881
Professional Enrollment ID
I20241023002148
Address ID
AL365452425JA1711XAVEX300
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience26
Completeness75
Years active:1State licenses:1Digital endpointsOther names

1,476 PHYSICAL THERAPIST IN PRIVATE PRACTICE in AL

Provider Addresses for SYDNEY HOLTON

  • 1711 COLLEGE AVE

    JACKSON, AL 365452425

    Phone: (251) 246-5761

    Fax: (251) 246-5665

    Type: Mailing

  • 25910 CANAL RD STE P

    ORANGE BEACH, AL 365615016

    Phone: (251) 981-7778

    Fax: (251) 981-7773

    Type: Location

NPPES updates history

No NPPES updates recorded for this provider.

Prescription Activity

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Open Payments (CMS)

No Open Payments data available for this provider.

This can happen when there are no reportable CMS Open Payments records.

Medicare Enrollment & Revalidation

Source: CMS public data · Not endorsed by CMS ·

Educational use only—not medical, billing, or legal advice.

PECOS enrollment status

Participating (accepts Medicare assignment)

Enrollment effective: 2024-10-23

PECOS data refreshed: 2026-05-27

Medicare revalidation (CMS due date list)

Due date not assigned yet

CMS is tracking this Medicare enrollment for revalidation, but has not published a due date.

Enrollment records

1

Earliest due date

Not assigned (TBD)

CMS data updated

2026-06-01

Revalidation progress

  1. Medicare enrolled
  2. On CMS revalidation list
  3. Due date assigned
  4. Revalidate in PECOS

CMS enrollment records

Enrollment IDTypeSpecialtyStateDue date
I20241023002148IPhysical Therapist In Private PracticeALTBD

What to do next

  • No action required while the due date shows TBD.
  • Check the CMS Revalidation Lookup Tool periodically — CMS updates the list about every 60 days.
  • Do not submit a revalidation application in PECOS until CMS publishes a concrete due date.

Verify on CMS Revalidation Lookup Tool

Prepare CMS-855 application → · Look up this NPI in PECOS → · Verify on CMS PECOS

Medicare Utilization (FFS)

Source: CMS public data · Not endorsed by CMS · Beneficiary counts under 11 are suppressed in source data ·

Educational use only—not medical, billing, or legal advice.

No Medicare fee-for-service utilization data available for this provider in our database.

Insurance plans in this area (ZIP 36545)

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Group practice members

Group practice members are other physicians who share the same Group Practice PAC ID with this doctor. When doctors form a group practice and register in PECOS as a single entity, they receive a shared identification number. This table lists all providers in the same group practice.
PAC ID: 3476535881View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeGA
Physical Therapist In Private PracticeFL
-AL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL
Physical Therapist In Private PracticeAL

Reviews

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Frequently asked questions

What unique ID ties claims to SYDNEY HOLTON?
NPI 1003633090 is assigned to SYDNEY HOLTON under the national enumeration system.
Is SYDNEY HOLTON currently active in the NPI registry?
CMS-published data lists SYDNEY HOLTON as an active registrant.
Does SYDNEY HOLTON list a primary specialty?
If you are matching referrals, note Physical Therapist for SYDNEY HOLTON. Clinical services aligned with this taxonomy classification.
Where is SYDNEY HOLTON's primary listing?
We display Jackson, Alabama because that is what the record indicates for SYDNEY HOLTON.
What if Jackson, Alabama seems incomplete?
Street-level detail can be omitted — open the full address list for this NPI.

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