Hollie Clouse, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

11360 Issued in NC

Practice address

1700 Pamalee Dr
Fayetteville, NC 28301-2824

Phone

(910) 488-2295

NPI assigned

Nov 13, 2017

Last updated

Apr 29, 2021By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1510531200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1619654400000",
    "number": "1164935227",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "408 WILDERNESS RD",
            "city": "MIDDLESBORO",
            "state": "KY",
            "postal_code": "40965",
            "telephone_number": "606-242-9336"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1700 PAMALEE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283012824",
            "telephone_number": "910-488-2295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CLOUSE",
        "first_name": "HOLLIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-11-13",
        "last_updated": "2021-04-29",
        "certification_date": "2021-04-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "3559",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "11360",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TN BOARD OF OT",
            "identifier": "3559",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Clinical Services Associates, LLC
• Robert Allen Clinton Jr., M.D.
• Ashley Grace Clocher, MSW, LCSW
• David A Cloud, CPED
• Carrie Mae Clough, FNP-BC
• Gita Cloutier, BCBA
• Larry Wayne Clubine, BA, CSAC
• Abigail Michelle Clymer, DPT
• Rashanda Coachman
• Coast to Coast Bilingual Counseling

• Occupational Therapy Assistant in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Occupational Therapy Assistant in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 29, 2021; 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.