Rudi Holland, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

056.013445 Issued in IL

Practice address

9943 Constitution CT
Orland Park, IL 60462-4572

Phone

(678) 995-9295

NPI assigned

Jan 20, 2022

Last updated

Jan 20, 2022By the provider in NPPES

Sex

Male

Sole proprietor

Yes

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

Enrolled in IL

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Illinois Home Therapy LLC

  dba Legends Home Therapy

  • Physical Therapist
  • Skokie, IL
  • NPI 1114506102

  Occupational Therapist

  Medicare reassignment NPD

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

{
    "created_epoch": "1642636800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642636800000",
    "number": "1225780257",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9943 CONSTITUTION CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624572",
            "telephone_number": "678-995-9295"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9943 CONSTITUTION CT",
            "city": "ORLAND PARK",
            "state": "IL",
            "postal_code": "604624572",
            "telephone_number": "678-995-9295"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAND",
        "first_name": "RUDI",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2022-01-20",
        "last_updated": "2022-01-20",
        "certification_date": "2022-01-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "IL",
            "license": "056.013445",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Deirdre Megan Hofman, PA-C
• Karolina Hogueisson, LCPC, NCC
• John G Hohner, D.O.
• Richard Stephen Holba, D.D.S10
• Alexandra Holdefer, LCSW, CADC
• Joshua Raphael Hollie, BEHAVIOR ANALYST
• India Hollinquest, MSN, APRN, FNP-BC
• Jordan Barnhill Holloran, LSW
• Tiffany Holloway-Simpson, PTA
• Brianne Holmes, D.C.

• Occupational Therapist in Orland Park, IL
• Providers in Orland Park, IL by specialty
• Occupational Therapist in Illinois

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 20, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.