Maggie Holzhauer

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1754 Issued in AR

Practice address

601 S Union St
De Witt, AR 72042-2727

Phone

(870) 946-1606

NPI assigned

Aug 25, 2021

Last updated

Aug 25, 2021By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Pattillo Center-School, Incorporated

  dba Pattillo Center-School, Inc.

  • Clinic/Center
  • De Witt, AR
  • NPI 1780809194
  NPD (past)

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

{
    "created_epoch": "1629849600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629849600000",
    "number": "1194492314",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S UNION ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422727",
            "telephone_number": "870-946-1606"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S UNION ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422727",
            "telephone_number": "870-946-1606"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLZHAUER",
        "first_name": "MAGGIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-25",
        "last_updated": "2021-08-25",
        "certification_date": "2021-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1754",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA LICENSE",
            "identifier": "OT-A1754",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "maggieholzhauer15@gmail.com",
            "affiliation": "N",
            "address_1": "601 S Union St",
            "city": "DE Witt",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720422727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Laura Ann Hannum, APRN
• Michael Harris
• John Richard Holt Hestir, DDS
• Randall S Hestir, DDS
• Randi Carann Hestir, COTA-L
• Darby Wray Horton, RDN
• Debra Horton, M.S.E., CCC-SLP
• Hallie Elizabeth Horton, QBHP
• Karen Sue Hudspeth, COTA
• Helen Jennings-Hood, LPC

• Occupational Therapy Assistant in De Witt, AR
• Providers in De Witt, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 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.