Active NPI
Michelle Ann Holtz, MOTR
- Occupational Therapist
- Flat Rock, MI
National Provider Identifier
1023204070
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 5201006291
- Practice address
- 29631 Evergreen St
Flat Rock, MI 48134-1240 - Phone
- (734) 925-6406
- NPI assigned
- Sep 22, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 5201006291 | MI | Primary |
| Physical Rehabilitation Occupational Therapist | 225XP0019X | 5201006291 | MI |
Addresses
Primary practice location
29631 Evergreen St
Flat Rock, MI 48134-1240
Mailing address
29631 Evergreen St
Flat Rock, MI 48134-1240
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 5201006291 | MI | MD | Physical Rehabilitation Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| We Care Resources Inc | Past | Accepting new patients | |
| Fitwell Physical Therapy Inc | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 2
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.
-
- Physical Therapist
- Flat Rock, MI
- NPI 1164796462
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1190419200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1415232000000",
"number": "1023204070",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "29631 EVERGREEN ST",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481341240"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "29631 EVERGREEN ST",
"city": "FLAT ROCK",
"state": "MI",
"postal_code": "481341240",
"telephone_number": "734-925-6406"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTZ",
"first_name": "MICHELLE",
"middle_name": "ANN",
"name_prefix": "Mrs.",
"credential": "MOTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-09-22",
"last_updated": "2014-11-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MI",
"license": "5201006291",
"primary": true
},
{
"code": "225XP0019X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Physical Rehabilitation",
"state": "MI",
"license": "5201006291",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Flat Rock, MI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 6, 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.