Individual provider Active NPI

Emily Paige Holloway, MSOTR/L

  • Occupational Therapist
  • Dahlonega, GA
National Provider Identifier
1083150007
Registry record updated Feb 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT006647 Issued in GA
Practice address
4007 Long Branch Rd
Dahlonega, GA 30533-5614
Phone
(678) 860-9629
NPI assigned
Jan 14, 2017
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 1, 2025

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 OT006647 GA Primary

Addresses

Primary practice location

4007 Long Branch Rd
Dahlonega, GA 30533-5614

Mailing address

PO Box 1324
Dahlonega, GA 30533-0023
Phone (678) 860-9629

Other names 1

  • Emily Paige Moss 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

State licenses

LicenseStateTypeSpecialty
OT006647GAMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1484352000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738368000000",
    "number": "1083150007",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1324",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305330023",
            "telephone_number": "678-860-9629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4007 LONG BRANCH RD",
            "city": "DAHLONEGA",
            "state": "GA",
            "postal_code": "305335614",
            "telephone_number": "678-860-9629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "EMILY",
        "middle_name": "PAIGE",
        "credential": "MSOTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-01-14",
        "last_updated": "2025-02-01",
        "certification_date": "2025-02-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT006647",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "EMILY",
            "last_name": "MOSS",
            "middle_name": "PAIGE",
            "credential": "MSOTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Dahlonega, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2025; 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.