Individual provider Active NPI

Anna Catherine Holmes, OTD, OTR/L

  • Occupational Therapist
  • Fort Oglethorpe, GA
National Provider Identifier
1376010231
Registry record updated Oct 30, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT007194 Issued in GA
Practice address
118 Herron Street
Fort Oglethorpe, GA 30742-3126
Phone
(706) 861-7472
Fax
(706) 861-7472
NPI assigned
Oct 30, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 30, 2018

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT007194 GA Primary

Addresses

Primary practice location

118 Herron Street
Fort Oglethorpe, GA 30742-3126

Mailing address

118 Herron St
Fort Oglethorpe, GA 30742-3126
Phone (706) 861-7471

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

LicenseStateTypeSpecialty
OT007194GAMDOccupational Therapist
5998TNMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Peak Pediatric Therapy, LLC PastSince Dec 28, 2020 Accepting new patients
North Georgia Pediatric Therapies, LLC Occupational Therapist Past Accepting new patients

Organizations & group practices 2

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": "1540857600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1540857600000",
    "number": "1376010231",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "118 HERRON ST",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423126",
            "telephone_number": "706-861-7471",
            "fax_number": "706-861-7472"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "118 HERRON STREET",
            "city": "FORT OGLETHORPE",
            "state": "GA",
            "postal_code": "307423126",
            "telephone_number": "706-861-7472",
            "fax_number": "706-861-7472"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "ANNA",
        "middle_name": "CATHERINE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-10-30",
        "last_updated": "2018-10-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT007194",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Oglethorpe, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 30, 2018; 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.