Glenna Caroline Holtby

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

1562 Issued in AK

Practice address

260 Caviar St Ste a
Kenai, AK 99611-7738

Phone

(907) 283-9016

Fax

(907) 283-8438

NPI assigned

Dec 4, 2007

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

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.

• Delia Smith Physical Therapy PC

  • Occupational Therapist
  • Medford, OR
  • NPI 1902113459
  NPD (past)

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

{
    "created_epoch": "1196726400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1196726400000",
    "number": "1124200910",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "260 CAVIAR ST STE A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117738",
            "telephone_number": "907-283-9016",
            "fax_number": "907-283-8438"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "260 CAVIAR ST STE A",
            "city": "KENAI",
            "state": "AK",
            "postal_code": "996117738",
            "telephone_number": "907-283-9016",
            "fax_number": "907-283-8438"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLTBY",
        "first_name": "GLENNA",
        "middle_name": "CAROLINE",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-12-04",
        "last_updated": "2007-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AK",
            "license": "1562",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacob William Hill
• Kathryn Hinson
• Rebecca Hitchcock, DPT
• Nhon X Hoang
• Stan Holguin
• Gary Joseph Hondel, LPC
• Andrea Therese Hooper, RN-MSN
• Rylee Joyce Paige Howell
• Kenneth Hoyt
• James Daniel Hudson, L.M.T.

• Occupational Therapist in Kenai, AK
• Providers in Kenai, AK by specialty
• Occupational Therapist in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2007; 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.