Active NPI
Hollie Bush
- Occupational Therapist
- Auburn, AL
National Provider Identifier
1104549633
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4519
- Practice address
- 1716 Catherine CT Ste 2a
Auburn, AL 36830-5735 - Phone
- (334) 467-5490
- NPI assigned
- Sep 20, 2022
- 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 | 4519 | AL | Primary |
Addresses
Primary practice location
1716 Catherine CT Ste 2a
Auburn, AL 36830-5735
Mailing address
1700 Muir Dr
Auburn, AL 36830-1935
Phone (334) 467-5490
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 |
|---|---|---|---|
| 4519 | AL | MD | Speech-Language Pathologist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1663632000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1663632000000",
"number": "1104549633",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1700 MUIR DR",
"city": "AUBURN",
"state": "AL",
"postal_code": "368301935",
"telephone_number": "334-467-5490"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1716 CATHERINE CT STE 2A",
"city": "AUBURN",
"state": "AL",
"postal_code": "368305735",
"telephone_number": "334-467-5490"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUSH",
"first_name": "HOLLIE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-09-20",
"last_updated": "2022-09-20",
"certification_date": "2022-09-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "4519",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Auburn, AL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.