Individual provider Active NPI

Holly M Koster, OTR

  • Occupational Therapist
  • Atlanta, GA
National Provider Identifier
1235498759
Registry record updated May 5, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4506 Issued in AL
Practice address
1819 Peachtree Rd NE
Suite 425
Atlanta, GA 30309-1848
Phone
(404) 352-3522
Fax
(404) 352-9251
NPI assigned
May 4, 2012
Last updated
May 5, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 5, 2025

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 OT005432 GA
Occupational Therapist 225X00000X 4506 AL Primary

Addresses

Primary practice location

1819 Peachtree Rd NE
Suite 425
Atlanta, GA 30309-1848

Mailing address

1819 Peachtree Rd NE
Suite 425
Atlanta, GA 30309-1848
Phone (404) 352-3522

Other practice location 1

805 Saint Vincents Dr Ste 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20171106000528 AL Practitioner - Occupational Therapist in Private Practice 7315102621 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2011
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
STV Sports Medicine and Orthopedics LLCGroup PAC ID 0446554562, 48 clinicians

Practice addresses (Care Compare)

7201 Happy Hollow Rd
Suite 202 a
Trussville, AL 35173-2458
Phone (205) 939-3699

805 Saint Vincents Dr
Suite 100
Birmingham, AL 35205-1638
Phone (205) 939-3699

Merit-based Incentive Payment System (MIPS)

Final score
100 of 100Reported as group
Promoting interoperability
100
Improvement activities
40

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
4506ALMDInternal Medicine Physician
OT005432GAMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Encore Rehabilitation, Inc CurrentSince Aug 9, 2017 Accepting new patients
Encore Rehabilitation, Inc. Occupational Therapist CurrentSince Aug 9, 2017 Accepting new patients
STV Sports Medicine & Orthopedics LLC CurrentSince Nov 1, 2021 Accepting new patients
STV Sports Medicine & Orthopedics LLC CurrentSince Nov 1, 2021 Accepting new patients
Rehab Associates, LLC PastSince Oct 11, 2017 Accepting new patients

Locations

805 Saint Vincents Dr
Ste 100
Birmingham, AL 35205

251 Johnston St SE
Ste 300
Decatur, AL 35601
Phone (256) 340-9708

5508 Stadium Trace Pkwy
Hoover, AL 35244
Phone (205) 682-7650

21862 State Highway 59 S
Robertsdale, AL 36567
Phone (251) 947-3410

7201 Happy Hollow Rd
Ste 202A
Trussville, AL 35173

Interoperability endpoints

  • Direct secure messaging: hkoster@andrewssm.emadirect.md

Organizations & group practices 5

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.

NPI Registry JSON

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

{
    "created_epoch": "1336089600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746403200000",
    "number": "1235498759",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE",
            "address_2": "SUITE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091848",
            "telephone_number": "404-352-3522",
            "fax_number": "404-352-9251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1819 PEACHTREE RD NE",
            "address_2": "SUITE 425",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303091848",
            "telephone_number": "404-352-3522",
            "fax_number": "404-352-9251"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "805 Saint Vincents Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "Birmingham",
            "state": "AL",
            "postal_code": "352051638",
            "country_code": "US",
            "telephone_number": "205-939-3699",
            "fax_number": "205-484-2585",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "KOSTER",
        "first_name": "HOLLY",
        "middle_name": "M",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-05-04",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005432",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4506",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.