Jdr74 Holdings, LLC
NPI 1649779331 · Physical Therapist · Dewitt, MI
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jdr74 Holdings, LLC is a Physical Therapist organization in Dewitt, MI (NPI 1649779331).
Provider details
- NPI number
- 1649779331
- Entity type
- Organization
- Primary specialty
- Physical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ryan Raborn, Physical Therapist(517) 449-7173
- License
- 5501014355 (MI)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Other name
- 5 Star Physical Therapy Specialists
Registry dates
- Enumerated
- 2018-02-07
- Last updated
- 2018-02-07
Frequently asked questions
- What is Jdr74 Holdings, LLC's NPI number?
- Jdr74 Holdings, LLC's National Provider Identifier (NPI) is 1649779331, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jdr74 Holdings, LLC?
- Jdr74 Holdings, LLC is classified in the NPPES registry as Physical Therapist (Respiratory, Developmental, Rehabilitative and Restorative Service Providers).
- Where is Jdr74 Holdings, LLC located?
- Jdr74 Holdings, LLC's practice location on file with NPPES is 13060 S US Highway 27 Ste C4, Dewitt, MI 48820-9319.
- What is Jdr74 Holdings, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jdr74 Holdings, LLC is (517) 449-7173.
- Does Jdr74 Holdings, LLC accept Medicare?
- Jdr74 Holdings, LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Jdr74 Holdings, LLC?
- The authorized official listed on Jdr74 Holdings, LLC's NPPES record is Ryan Raborn, Physical Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jdr74 Holdings, LLC's NPI active?
- Yes — Jdr74 Holdings, LLC's NPI (1649779331) is active in the NPPES registry as of the last update on 2018-02-07.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.