Individual provider Active NPI

Holly M Ross, BS/MOT/OTRL/WSI

  • Occupational Therapist
  • Littleton, CO
National Provider Identifier
1225609795
Registry record updated Jul 6, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT.0005668 Issued in CO
Practice address
40 W Littleton Blvd
Suite 210-105
Littleton, CO 80120
Phone
(720) 610-9928
NPI assigned
Jul 6, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 6, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OT.0005668 CO
Occupational Therapist 225X00000X OT.0005668 CO Primary
Feeding, Eating & Swallowing Occupational Therapist 225XF0002X OT.0005668 CO

Addresses

Primary practice location

40 W Littleton Blvd
Suite 210-105
Littleton, CO 80120

Mailing address

40 W Littleton Blvd Ste 210-105
Littleton, CO 80120-2478
Phone (720) 610-9928

Other identifiers 3

IdentifierTypeStateIssuer
40862OtherNBCOT LICENSE NUMBER
5201010613OtherMIMICHIGAN STATE LICENSE
OT.0005668OtherCOCOLORADO STATE LICENSE NUMBER

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
Credentials
Bachelor of Science

State licenses

LicenseStateTypeSpecialty
OT.0005668COMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks OT, LLC CurrentSince Jun 18, 2023 Accepting new patients

Locations

40 W Littleton Blvd
Ste 210105
Littleton, CO 80120
Phone (720) 610-9928

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": "1625529600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625529600000",
    "number": "1225609795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "40 W LITTLETON BLVD STE 210-105",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "801202478",
            "telephone_number": "720-610-9928"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "40 W LITTLETON BLVD",
            "address_2": "SUITE 210-105",
            "city": "LITTLETON",
            "state": "CO",
            "postal_code": "80120",
            "telephone_number": "720-610-9928"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSS",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "BS/MOT/OTRL/WSI",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-06",
        "last_updated": "2021-07-06",
        "certification_date": "2021-07-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "CO",
            "license": "OT.0005668",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "CO",
            "license": "OT.0005668",
            "primary": true
        },
        {
            "code": "225XF0002X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Feeding, Eating & Swallowing",
            "state": "CO",
            "license": "OT.0005668",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "NBCOT LICENSE NUMBER",
            "identifier": "40862",
            "state": null
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MICHIGAN STATE LICENSE",
            "identifier": "5201010613",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COLORADO STATE LICENSE NUMBER",
            "identifier": "OT.0005668",
            "state": "CO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Littleton, CO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 6, 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.