Rachel Esther Hollister, OT

Primary specialty

Hand Occupational TherapistTaxonomy code 225XH1200X

License

100399 Issued in MN

Practice address

2450 Riverside Ave
Suite R102
Minneapolis, MN 55454-1450

Phone

(612) 273-9400

NPI assigned

Sep 14, 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

• Rachel Esther Dyrud Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Taos Physical Therapy, Inc.

  • Physical Therapist
  • Taos, NM
  • NPI 1205934619
  NPD (past)

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

{
    "created_epoch": "1158192000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1251676800000",
    "number": "1003911785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "210 W GRANT ST",
            "address_2": "#122",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554032298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2450 RIVERSIDE AVE",
            "address_2": "SUITE R102",
            "city": "MINNEAPOLIS",
            "state": "MN",
            "postal_code": "554541450",
            "telephone_number": "612-273-9400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLISTER",
        "first_name": "RACHEL",
        "middle_name": "ESTHER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-09-14",
        "last_updated": "2009-08-31",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "MN",
            "license": "100399",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "DYRUD",
            "middle_name": "ESTHER",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Maryn Holler
• Lisa Holliday, LICSW
• Douglas Albert Hollie III, RPH
• Jessica Hollie, LICSW
• Kimberly Jean Hollingsworth, APRN BC
• David Lee Holloway
• Gabrielle Leah Holloway, LICSW
• Mikah Holloway
• Stephen Francis Holloway, M.D.
• Natasha Hollowell, RN

• Hand Occupational Therapist in Minneapolis, MN
• Providers in Minneapolis, MN by specialty
• Hand Occupational Therapist in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2009; 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.