Individual provider Active NPI

Erin Chapman Soholt, OTD, OTR/L

  • Occupational Therapist
  • Talbott, TN
National Provider Identifier
1154559086
Registry record updated Jul 14, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4078 Issued in TN
Practice address
6111 W Andrew Johnson Hwy Ste 5
Talbott, TN 37877-8585
Phone
(423) 586-9495
NPI assigned
Jun 30, 2009
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2020

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X 4078 TN Primary

Addresses

Primary practice location

6111 W Andrew Johnson Hwy Ste 5
Talbott, TN 37877-8585

Mailing address

2103 Nances Ferry Rd
New Market, TN 37820-3560
Phone (615) 509-2297

Other identifiers 1

IdentifierTypeStateIssuer
225X00000XMedicaidTN

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL www.dynamicptsite.com

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

OrganizationSpecialtyStatusNew patients
Volunteer Healthcare Services, Inc. Past Accepting new patients

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1246320000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1594684800000",
    "number": "1154559086",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2103 NANCES FERRY RD",
            "city": "NEW MARKET",
            "state": "TN",
            "postal_code": "378203560",
            "telephone_number": "615-509-2297"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6111 W ANDREW JOHNSON HWY STE 5",
            "city": "TALBOTT",
            "state": "TN",
            "postal_code": "378778585",
            "telephone_number": "423-586-9495"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOHOLT",
        "first_name": "ERIN",
        "middle_name": "CHAPMAN",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-06-30",
        "last_updated": "2020-07-14",
        "certification_date": "2020-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TN",
            "license": "4078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "225X00000X",
            "state": "TN"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "www.dynamicptsite.com",
            "affiliation": "N",
            "address_1": "6111 W Andrew Johnson Hwy",
            "city": "Talbott",
            "state": "TN",
            "country_code": "US",
            "postal_code": "378778585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Talbott, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2020; 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.