Individual provider Active NPI

Maggie Claire Holt, COTA/L

  • Occupational Therapy Assistant
  • Lawrenceburg, TN
National Provider Identifier
1336710516
Registry record updated Jul 8, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OTA0000003471 Issued in TN
Practice address
1311 S Locust Ave Ste 101
Lawrenceburg, TN 38464-4054
Phone
(931) 766-6374
NPI assigned
Jul 8, 2021
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA0000003471 TN Primary

Addresses

Primary practice location

1311 S Locust Ave Ste 101
Lawrenceburg, TN 38464-4054

Mailing address

803 2ND St # B
Lawrenceburg, TN 38464-2926
Phone (931) 231-9303

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

State licenses

LicenseStateTypeSpecialty
OTA0000003471TNMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Speech Language & Learning Center of TN CurrentSince Jul 17, 2021 Accepting new patients

Locations

1311 S Locust Ave
Ste 101
Lawrenceburg, TN 38464
Phone (931) 766-6374

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1625702400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1625702400000",
    "number": "1336710516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 2ND ST # B",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384642926",
            "telephone_number": "931-231-9303"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1311 S LOCUST AVE STE 101",
            "city": "LAWRENCEBURG",
            "state": "TN",
            "postal_code": "384644054",
            "telephone_number": "931-766-6374"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLT",
        "first_name": "MAGGIE",
        "middle_name": "CLAIRE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-07-08",
        "last_updated": "2021-07-08",
        "certification_date": "2021-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "TN",
            "license": "OTA0000003471",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Lawrenceburg, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 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.