Katy Marie Holthaus, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

202465 Issued in MN

Practice address

7624 Executive Dr
Eden Prairie, MN 55344-3677

Phone

(952) 944-0240

NPI assigned

Sep 10, 2019

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Katy Marie Weir Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Center for Speech, Language and Learning, Inc.

  • Speech-Language Pathologist
  • Oakdale, MN
  • NPI 1164588307
  NPD
• Therapy for Me

  • Speech-Language Pathologist
  • Eden Prairie, MN
  • NPI 1669627154
  NPD
• Therapy for Me Inc

  • Pediatric Occupational Therapist
  • Eden Prairie, MN
  • NPI 1811095599
  NPD
• Center for Speech, Language, and Learning, Inc.

  • Hearing and Speech Clinic/Center
  • Oakdale, MN
  • NPI 1588592471
  NPD (past)

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

{
    "created_epoch": "1568073600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1628553600000",
    "number": "1295384386",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7624 EXECUTIVE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443677",
            "telephone_number": "952-944-0240"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7624 EXECUTIVE DR",
            "city": "EDEN PRAIRIE",
            "state": "MN",
            "postal_code": "553443677",
            "telephone_number": "952-944-0240"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "434 Hayward Ave N",
            "address_purpose": "LOCATION",
            "city": "Oakdale",
            "state": "MN",
            "postal_code": "551285379",
            "country_code": "US",
            "telephone_number": "651-739-2300",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLTHAUS",
        "first_name": "KATY",
        "middle_name": "MARIE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2019-09-10",
        "last_updated": "2021-08-10",
        "certification_date": "2021-08-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MN",
            "license": "202465",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATY",
            "last_name": "WEIR",
            "middle_name": "MARIE",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Lindsay K Holcombe, APRN
• Joseph Holewa, PHARMD, RPH
• Megan Cleo Holle Whipps, CNP
• Sherri Kae Hollister, CF-SLP
• Mark F Holmberg, DDS
• Homegrown Kids LLC
• Sarah Marie Hong, RN
• Ben Hoogland, LMFT
• Chantelle Jessica Hoogland, LPCC, LADC
• Hope Healthcare Agency Inc

• Occupational Therapy Assistant in Eden Prairie, MN
• Providers in Eden Prairie, MN by specialty
• Occupational Therapy Assistant in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 10, 2021; 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.