Active NPI
Holden Hacker Blankenship
- Occupational Therapist
- Johnson City, TN
National Provider Identifier
1104784412
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2214 E Fairview Ave
Johnson City, TN 37601-2860 - Phone
- (423) 928-6464
- NPI assigned
- Jan 14, 2026
- 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 | Primary |
Addresses
Primary practice location
2214 E Fairview Ave
Johnson City, TN 37601-2860
Mailing address
2214 E Fairview Ave
Johnson City, TN 37601-2860
Other names 1
- Holden Hacker
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Fairview Therapy | Occupational Therapist | Past | Accepting new patients |
| Mini Miracles Pediatric Therapy, PLLC | Past | 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.
-
- Early Intervention Provider Agency
- Johnson City, TN
- NPI 1831774637
Occupational Therapist
-
- Early Intervention Provider Agency
- Johnson City, TN
- NPI 1477991560
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1768348800000",
"number": "1104784412",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2214 E FAIRVIEW AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012860"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2214 E FAIRVIEW AVE",
"city": "JOHNSON CITY",
"state": "TN",
"postal_code": "376012860",
"telephone_number": "423-928-6464"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BLANKENSHIP",
"first_name": "HOLDEN",
"middle_name": "HACKER",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2026-01-14",
"last_updated": "2026-01-14",
"certification_date": "2026-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "HOLDEN",
"last_name": "HACKER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Johnson City, TN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.