P Praxis·MD
● Active Type 1 · Individual

Kiley Zellitti Holmes, DPT

Physical Therapist·Meridian, ID· NPI 1679818793 · Enumerated 2012 · 13 years on NPI
Holmes is 1 of 195 physical therapist providers in Meridian and 1 of 2006 in Idaho.
NPI age
13 years
Enumerated 2012-11-29
Primary specialty
Physical Therapist
Plus 2 subspecialties
Licensed in
ID, MD, WA
3 states
Status
Active
No deactivations on record
Last NPPES update
2020-05-21
Source: monthly bulk 2026-05
Sole proprietor
No
May be part of a larger org

How this provider compares

Across 2006 active physical therapist providers in Idaho.

NPI age
13 years
↑ 2 yr above median (11 yr)
State licenses
3 states
Top 91% — 9% of peers are multi-state
Subspecialties
0
16% of peers hold subspecialties

NPI lifetime · 2012 → 2026

2012-11Enumerated in NPPES
2012 2026

Where they practice

Practice location
904 S Vanguard Way Ste 110
Meridian, ID 836427552
📞 2088036767fax 2088036766
Mailing address
645 E State St Ste 101
Eagle, ID 836165915
📞 2089399594fax 2089399828

Additional practice locations

1 secondary location on file with NPPES.

Location 2
16900 Science Dr, Ste 104
Bowie, MD 207154401
📞 3018057110fax 3018057114

Specialties

  • Physical Therapist Primary
    Physical therapists (PTs) are licensed health care professionals who diagnose and treat individuals of all ages, from newborns to the very oldest, who have medical problems or other health-related conditions that limit their abilities...
    ID license #PT-6736MD license #25568WA license #PT60363672 taxonomy 225100000X

Identifiers

TypeValueNotes
01 (WA) 0312053 DEPT OF LABOR AND INDUSTRIES
Multi-state credentialing: Licensed in 3 states. Useful context for credentialers building cross-state provider networks.

Practice context

Part of a multi-provider practice. 3 other active providers share this practice address in NPPES.

Recently enumerated nearby: 1 new physical therapist provider has been added in Meridian in the last 180 days. See all →
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How to verify this provider

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Check the state license is currently active.State licensing boards publish current status; NPPES does not.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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