Active NPI
Janice Johnson Holloway, MOT, OTR/L
- Occupational Therapist
- St Augustine, FL
National Provider Identifier
1265607378
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 9478
- Practice address
- 1260 Nochaway Dr
St Augustine, FL 32092-3463 - Phone
- (904) 501-1214
- NPI assigned
- Apr 29, 2008
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 9478 | FL | Primary |
Addresses
Primary practice location
1260 Nochaway Dr
St Augustine, FL 32092-3463
Mailing address
1260 Nochaway Dr
St Augustine, FL 32092-3463
Phone (904) 501-1214
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 9478 | FL | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1209427200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1595203200000",
"number": "1265607378",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1260 NOCHAWAY DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923463",
"telephone_number": "904-501-1214"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1260 NOCHAWAY DR",
"city": "ST AUGUSTINE",
"state": "FL",
"postal_code": "320923463",
"telephone_number": "904-501-1214"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "JANICE",
"middle_name": "JOHNSON",
"name_prefix": "Mrs.",
"credential": "MOT, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-04-29",
"last_updated": "2020-07-20",
"certification_date": "2020-07-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "FL",
"license": "9478",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in St Augustine, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.