Active NPI
Kelsi Holthus, OTR/L
- Occupational Therapist
- Fairfax, MO
National Provider Identifier
1063928307
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2015027889
- Practice address
- 26136 US Highway 59
Fairfax, MO 64446-9105 - Phone
- (660) 686-2211
- NPI assigned
- Dec 22, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2015027889 | MO | Primary |
Addresses
Primary practice location
26136 US Highway 59
Fairfax, MO 64446-9105
Mailing address
2810 W 35TH St Ste 2
Kearney, NE 68845-2909
Phone (308) 237-7388
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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2015027889 | MO | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1513900800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1513900800000",
"number": "1063928307",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2810 W 35TH ST STE 2",
"city": "KEARNEY",
"state": "NE",
"postal_code": "688452909",
"telephone_number": "308-237-7388"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "26136 US HIGHWAY 59",
"city": "FAIRFAX",
"state": "MO",
"postal_code": "644469105",
"telephone_number": "660-686-2211"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLTHUS",
"first_name": "KELSI",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-12-22",
"last_updated": "2017-12-22",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2015027889",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fairfax, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 22, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.