Active NPI
Holly Marie Paul, MS,OTR/L
- Occupational Therapist
- Kewaskum, WI
National Provider Identifier
1285720151
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 4195-023
- Practice address
- 1415 Bilgo LN
Kewaskum, WI 53040-8921 - Phone
- (262) 626-3101
- NPI assigned
- Oct 5, 2006
- 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 | 4195-023 | WI | Primary |
Addresses
Primary practice location
1415 Bilgo LN
Kewaskum, WI 53040-8921
Mailing address
1455 School St
Kewaskum, WI 53040-8924
Phone (262) 626-8427
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
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4195-023 | WI | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1160006400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1769644800000",
"number": "1285720151",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1455 SCHOOL ST",
"city": "KEWASKUM",
"state": "WI",
"postal_code": "530408924",
"telephone_number": "262-626-8427"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1415 BILGO LN",
"city": "KEWASKUM",
"state": "WI",
"postal_code": "530408921",
"telephone_number": "262-626-3101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PAUL",
"first_name": "HOLLY",
"middle_name": "MARIE",
"name_prefix": "Mrs.",
"credential": "MS,OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-10-05",
"last_updated": "2026-01-29",
"certification_date": "2026-01-29",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "WI",
"license": "4195-023",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Kewaskum, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 29, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.