Randall Steven Hollman, OTR

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT00000718 Issued in WA

Practice address

4015 S Morrill St
Spokane, WA 99223-1282

Phone

(509) 448-4335

NPI assigned

Aug 29, 2011

Last updated

Aug 29, 2011By 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 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1314576000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1314576000000",
    "number": "1255612743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4015 S MORRILL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231282",
            "telephone_number": "509-448-4335"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4015 S MORRILL ST",
            "city": "SPOKANE",
            "state": "WA",
            "postal_code": "992231282",
            "telephone_number": "509-448-4335"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLMAN",
        "first_name": "RANDALL",
        "middle_name": "STEVEN",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2011-08-29",
        "last_updated": "2011-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XG0600X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Gerontology",
            "state": "WA",
            "license": "OT00000718",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "WA",
            "license": "OT00000718",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Garret Holley
• Andria Hollingshead, LMHP, LADC, CPC, NCC
• Katherine Anne Hollingsworth, LICSW, SUDP
• Holly Hollis, LMSW
• Rita Hollis
• Clyde Frederick Hollon, M.D.
• Matthew Frederick Hollon, MD, MPH
• Mackenzie Paige Holloway, ARNP
• Sarah Ann Holloway
• Kevin Holly, CRNA

• Physical Rehabilitation Occupational Therapist in Spokane, WA
• Providers in Spokane, WA by specialty
• Physical Rehabilitation Occupational Therapist in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 29, 2011; 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.