Nicole Holtz, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

4658027 Issued in WI

Practice address

814 Jackson Street
Stoughton, WI 53589-1520

Phone

(608) 873-6448

NPI assigned

Dec 23, 2008

Last updated

Dec 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1229990400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1229990400000",
    "number": "1003052911",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "814 JACKSON STREET",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891520",
            "telephone_number": "608-873-6448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "814 JACKSON STREET",
            "city": "STOUGHTON",
            "state": "WI",
            "postal_code": "535891520",
            "telephone_number": "608-873-6448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTZ",
        "first_name": "NICOLE",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-23",
        "last_updated": "2008-12-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WI",
            "license": "4658027",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Joseph David Henningsen, MD
• Maikhou Lor Her, RN
• Jodi K Herbst, LPN
• Richard W Hill, MD
• Jane Lynn Hipke, COTA
• Andrew P Holzli, DC
• Diane Marie Howard I, RN
• Kelly J Howland, LPN
• Michelle Renee Huber, MSPT
• Jennifer Lynn Hull, DVM

• Occupational Therapy Assistant in Stoughton, WI
• Providers in Stoughton, WI by specialty
• Occupational Therapy Assistant in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 23, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.