Hollyann Elise Riley, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

0119010366 Issued in VA

Practice address

5930 Adobe Rd
Twentynine Palms, CA 92277-2356

Phone

(760) 367-1743

NPI assigned

Apr 18, 2017

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Hollyann Elise Kabbe Former name

Medicare fee-for-service enrollment

Enrolled in CA

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• H.D.P.R.G., Inc

  • Speech-Language Pathologist
  • Twentynine Palms, CA
  • NPI 1295886067
  Medicare reassignment
• Easy Speech Therapy Center

  • Speech-Language Pathologist
  • Palm Desert, CA
  • NPI 1881167237
  NPD (past)

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

{
    "created_epoch": "1492473600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724025600000",
    "number": "1003340944",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772356",
            "telephone_number": "760-367-1743"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5930 ADOBE RD",
            "city": "TWENTYNINE PALMS",
            "state": "CA",
            "postal_code": "922772356",
            "telephone_number": "760-367-1743"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RILEY",
        "first_name": "HOLLYANN",
        "middle_name": "ELISE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-04-18",
        "last_updated": "2024-08-19",
        "certification_date": "2024-08-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "VA",
            "license": "0119010366",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CA",
            "license": "OT17141",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLYANN",
            "last_name": "KABBE",
            "middle_name": "ELISE",
            "credential": "OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Philip A. Rice, IDC
• Karen Richardson, MD
• Joseph Solon Richey, IDC
• Jeffrey C Ricks, M.D.
• Joshua Wayne Ricks, DDS
• Robert E. Bush Naval Hospital
• Adrian Leslie Robinson Jr., IDC
• Allegra Deann Robinson
• Breanna Robinson
• Hugh Scott Rockwell, LICSW

• Occupational Therapist in Twentynine Palms, CA
• Providers in Twentynine Palms, CA by specialty
• Occupational Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.