Alisa M Kollmann, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

4132 Issued in SC

Practice address

104 W Pinckney St
Abbeville, SC 29620-2124

Phone

(864) 366-9151

NPI assigned

Aug 12, 2006

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

Other names 1

• Miss Alisa M Holzheimer Former name

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": "1155340800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1397174400000",
    "number": "1003828005",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "420 THOMSON CIR",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296205656",
            "telephone_number": "864-366-5011"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "104 W PINCKNEY ST",
            "city": "ABBEVILLE",
            "state": "SC",
            "postal_code": "296202124",
            "telephone_number": "864-366-9151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KOLLMANN",
        "first_name": "ALISA",
        "middle_name": "M",
        "name_prefix": "Mrs.",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-08-12",
        "last_updated": "2014-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "4132",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALISA",
            "last_name": "HOLZHEIMER",
            "middle_name": "M",
            "prefix": "MISS",
            "credential": "MOT,OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Joseph Frank Jones, LMSW
• K. W. Ballentine, MD, PA
• Julie Knox, PHARM.D
• Sandy Knox, R.N.
• Charles A. Kolb, MD
• Lakelands Orthopaedic Clinic
• Larry D. Lawson DDS PA
• Rachel L Latham, LPC, LAC
• Lawson Family Dental Care LLC
• Carter Daniel Lawson, D.M.D.

• All providers in Abbeville, SC
• Occupational Therapist in South Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2014; 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.