Individual provider Active NPI

Hollie Rhodus Brineman, MS, OTR/L

  • Occupational Therapist
  • Cumming, GA
National Provider Identifier
1083125769
Registry record updated Nov 15, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006856 Issued in GA
Practice address
4640 Martin Rd
Cumming, GA 30041-5542
Phone
(678) 679-1261
Fax
(678) 250-9010
NPI assigned
Oct 20, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 15, 2017

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT006856 GA Primary

Addresses

Primary practice location

4640 Martin Rd
Cumming, GA 30041-5542

Mailing address

4640 Martin Road
Cumming, GA 30041-5571
Phone (678) 679-1261

Other names 1

  • Hollie M Rhodus Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OT006856GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Essential Therapy Services Occupational Therapist Past Accepting new patients
Essential Therapy Services, Inc. Occupational Therapist PastSince Oct 21, 2025 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.

NPI Registry JSON

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

{
    "created_epoch": "1508457600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510704000000",
    "number": "1083125769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4640 MARTIN ROAD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415571",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4640 MARTIN RD",
            "city": "CUMMING",
            "state": "GA",
            "postal_code": "300415542",
            "telephone_number": "678-679-1261",
            "fax_number": "678-250-9010"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BRINEMAN",
        "first_name": "HOLLIE",
        "middle_name": "RHODUS",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-10-20",
        "last_updated": "2017-11-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006856",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLIE",
            "last_name": "RHODUS",
            "middle_name": "M",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Cumming, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 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.

Verify at the official NPI Registry.