Holly Baxter, COTA
Individual provider Active NPI Occupational Therapy Assistant · Yorktown, IN
NPI 1114397700 · NPPES record last updated Sep 25, 2015
Key facts
- NPI
- 1114397700
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- 32001866A (IN)
- Practice address
- 12561 W State Road 32
Yorktown, IN 47396-9725 - Phone
- (765) 215-5618
- NPI assigned
- Sep 25, 2015
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 32001866A | IN | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 32001866A | IN | Yes |
Addresses
Primary practice location
12561 W State Road 32
Yorktown, IN 47396-9725
Mailing address
12561 W State Road 32
Yorktown, IN 47396-9725
Phone (765) 215-5618
Other providers in Yorktown, IN
- Ahp Yorktown Al LLC
- Bachar Al Khatib
- Haley Mae Anderson
- Morgan Anderson
- Darla Sue Baker
- Kyra Lee Blankenship
- Paul Botsford
- Kyleigh Ann Brumley
- Rachel Leann Cantrell
- Cardinal Health Partners, LLC
All providers in Yorktown, IN · Occupational Therapy Assistant in Indiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 25, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.