Lacey Holder, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

113964 Issued in TX

Practice address

2201 N Central Expy Ste 110
Richardson, TX 75080-2718

Phone

(214) 265-1819

NPI assigned

Mar 8, 2011

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

• Lacey Feduke Former name

Medicare fee-for-service enrollment

Enrolled in TX

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2008

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Prestige Rehab TX PLLCGroup PAC ID 4385136266, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Prestige Rehab TX PLLC

  • Physical Therapist
  • McKinney, TX
  • NPI 1053271502
  Medicare reassignment Care Compare group
• Lissa D. Mills, Inc

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Richardson, TX
  • NPI 1477639201

  Pediatrics

  NPD (past)

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

{
    "created_epoch": "1299542400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1375747200000",
    "number": "1104124676",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2201 N CENTRAL EXPY STE 110",
            "city": "RICHARDSON",
            "state": "TX",
            "postal_code": "750802718",
            "telephone_number": "214-265-1819"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLDER",
        "first_name": "LACEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2011-03-08",
        "last_updated": "2013-08-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TX",
            "license": "113964",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LACEY",
            "last_name": "FEDUKE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Karen Beth Hoffmann
• Angela Renee Hogan, PHARM. D., BCACP
• Chelsey Maire Hogan
• Rebecca Danielle Hogg, MA, LPC, RPT
• Hola Doctor, PLLC
• Elexus Holland
• Elisabeth F Holland, RNC, NNP
• Jacquelynn Holmes
• Kristopher Holmes, PA-C
• Honestar Wound Care PLLC

• Pediatric Occupational Therapist in Richardson, TX
• Providers in Richardson, TX by specialty
• Pediatric Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.