Tisha Hollanbaugh, COTA /L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

C1680 Issued in WV

Practice address

2410 Jefferson Ave
Point Pleasant, WV 25550-1528

Phone

(304) 675-7400

NPI assigned

Aug 31, 2015

Sex

Female

Sole proprietor

Yes

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": "1440979200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1663632000000",
    "number": "1023485653",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "586 DULY RD",
            "city": "GALLIPOLIS",
            "state": "OH",
            "postal_code": "456319401",
            "telephone_number": "740-441-7999"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2410 JEFFERSON AVE",
            "city": "POINT PLEASANT",
            "state": "WV",
            "postal_code": "255501528",
            "telephone_number": "304-675-7400"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLANBAUGH",
        "first_name": "TISHA",
        "credential": "COTA /L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-08-31",
        "last_updated": "2022-09-20",
        "certification_date": "2022-09-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "WV",
            "license": "C1680",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Chad Hesson
• Ericka Hesson
• John Richard Hesson Jr., LPN
• Penny Loraine Hickman
• Edna Pauline Hisiro, CFNP
• Alexis Holland
• Michael Holland, LCSW
• Holzer Hospital Foundation
• Home Care Medical Equipment
• Michael Hoover

• Occupational Therapy Assistant in Point Pleasant, WV
• Providers in Point Pleasant, WV by specialty
• Occupational Therapy Assistant in West Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; 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.