JILL MARGARET HOLKEBOER (MSPT) – Orthopedic Physical Therapist, NPI 1699984450

JILL MARGARET HOLKEBOER (MSPT) is a healthcare provider. based in Grand rapids, Michigan. specializing in PHYSICAL THERAPIST IN PRIVATE PRACTICE. They hold the professional credentials MSPT. They hold a License No. 5501010191 (MI). The NPI Number for JILL MARGARET HOLKEBOER (MSPT) is 1699984450

Main info

Female
17 Years Of Experience
Accepts Medicare Assignment
Name
JILL MARGARET HOLKEBOER (MSPT)
NPI
1699984450
Phone
(616) 246-5789
Address
607 DEWEY AVE NW
Enumeration Date
21 May 2007
Last Update Date
14 February 2020

Doctor Profile

Medical School Name
OTHER
Secondary Phone
6162353970
Graduation Year
2009 (17 years ago)
PAC ID
4183051121
Group Practice PAC ID
9537070545
Professional Enrollment ID
I20200303002190
Address ID
MI493157976BY2373XSWXX402
Data current as of
19 May 2026

Profile Insights

NPPES metrics only — not quality of care.

Methodology
Experience62
Completeness75
Years active:19State licenses:1Digital endpointsOther names

3,459 PHYSICAL THERAPIST IN PRIVATE PRACTICE in MI

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Provider Addresses for JILL MARGARET HOLKEBOER (MSPT)

  • 607, Dewey Avenue Northwest, Grand Rapids, Kent County, Michigan, 49504, United States

    STE 300

    GRAND RAPIDS, MI 495047335

    Phone: (616) 246-5789

    Type: Mailing

  • Amway World Headquarters, 7575, Fulton Street East, Ada, Ada Township, Kent County, Michigan, 49355, United States

    ADA, MI 493550001

    Phone: (616) 787-1792

    Fax: (616) 787-6195

    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: 2020-03-03

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
I20200303002190IPhysical Therapist In Private PracticeMITBD

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.

Top Medicare procedures (2023) · refreshed 2026-05-27

HCPCSDescriptionServicesBeneficiariesMedicare allowed
97140Therapy procedure using manual technique, each 15 minutes7329$0
97110Therapy procedure using exercise to develop strength, endurance, range of motion, and flexibility, each 15 minutes7031$0
97112Therapy procedure to re-educate brain-to-nerve-to-muscle function, each 15 minutes4822$0
View full utilization report →

Insurance plans in this area (ZIP 49504)

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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: 9537070545View full group profile
NameSpecialtyState
Physical Therapist In Private PracticeOH
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeMI
Physical Therapist In Private PracticeCO

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Frequently asked questions

What is JILL MARGARET HOLKEBOER (MSPT)'s NPI number?
JILL MARGARET HOLKEBOER (MSPT)'s NPI is 1699984450 — the number used across U.S. healthcare to identify this provider.
Is JILL MARGARET HOLKEBOER (MSPT) shown as active in public data?
Registry records indicate JILL MARGARET HOLKEBOER (MSPT) maintains an active NPI.
How would a patient describe JILL MARGARET HOLKEBOER (MSPT)'s focus?
For JILL MARGARET HOLKEBOER (MSPT), the primary taxonomy reads as Orthopedic Physical Therapist. Clinical services aligned with this taxonomy classification.
Where in Michigan is JILL MARGARET HOLKEBOER (MSPT) registered?
Use Grand Rapids, Michigan as the headline location for JILL MARGARET HOLKEBOER (MSPT) here.
Does inactive status remove historical data?
Historical rows can remain visible after status changes — read the dates carefully.

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