Micah Jane McHolland, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

2022005834 Issued in MO

Practice address

205 Tyler CT
Mount Vernon, MO 65712-7845

Phone

(573) 822-0685

NPI assigned

Mar 9, 2022

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

• Micah Jane Culbertson Former name

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2021

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Empowerme Rehabilitation Missouri LLCGroup PAC ID 9234402470, 207 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Empowerme Rehabilitation Missouri LLC

  • Multi-Specialty Clinic/Center
  • Saint Charles, MO
  • NPI 1417479494

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Empowerme Wellness Kansas City, LLC

  • Multi-Specialty Clinic/Center
  • Kansas City, MO
  • NPI 1083208391

  Occupational Therapist

  Medicare reassignment NPD
• Empowerme Rehabilitation Missouri LLC

  • Rehabilitation Clinic/Center
  • Columbia, MO
  • NPI 1558932327

  Occupational Therapist

  NPD
• Empowerme Wellness Kansas City, LLC

  • Rehabilitation Clinic/Center
  • Liberty, MO
  • NPI 1174299044
  NPD

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

{
    "created_epoch": "1646784000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1646784000000",
    "number": "1043967037",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "205 TYLER CT",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657127845",
            "telephone_number": "573-822-0685"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 TYLER CT",
            "city": "MOUNT VERNON",
            "state": "MO",
            "postal_code": "657127845",
            "telephone_number": "573-822-0685"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MCHOLLAND",
        "first_name": "MICAH",
        "middle_name": "JANE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-03-09",
        "last_updated": "2022-03-09",
        "certification_date": "2022-03-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2022005834",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "MICAH",
            "last_name": "CULBERTSON",
            "middle_name": "JANE",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Mark V Walters DC PC
• Mark V. Walters DC PC
• Jessica Leigh Martin
• Maximum Function Occupational Therapy LLC
• Robert Gordon McAfee, MD
• William Lewis McKay, DO
• Amy Melzer, DPT
• Mercy Hospital Springfield
• Amy Lynn Meriweather, PH.D.
• Gavin Bradley Messer, D.D.S.

• Occupational Therapist in Mount Vernon, MO
• Providers in Mount Vernon, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 9, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.