NPIMap

Organization Active NPI

Holistic Aim Therapy, LLC

  • Clinic/Center
  • Bowie, MD
National Provider Identifier
1376145540
Registry record updated Nov 12, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
HOLISTIC AIM THERAPY, LLC
Practice address
11600 Legend Glen Dr
Bowie, MD 20720-3458
Phone
(954) 226-8079
NPI assigned
Nov 12, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 12, 2020

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

Authorized official

Name
Africa Mincey, OTR/LNPI 1396292025
Title
Occupational Therapist
Phone
(954) 226-8079

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

11600 Legend Glen Dr
Bowie, MD 20720-3458

Mailing address

11600 Legend Glen Dr
Bowie, MD 20720-3458
Phone (954) 226-8079

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1605139200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1605139200000",
    "number": "1376145540",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11600 LEGEND GLEN DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203458",
            "telephone_number": "954-226-8079"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11600 LEGEND GLEN DR",
            "city": "BOWIE",
            "state": "MD",
            "postal_code": "207203458",
            "telephone_number": "954-226-8079"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HOLISTIC AIM THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-11-12",
        "last_updated": "2020-11-12",
        "certification_date": "2020-11-12",
        "status": "A",
        "authorized_official_last_name": "MINCEY",
        "authorized_official_first_name": "AFRICA",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "954-226-8079",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bowie, MD

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 12, 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.

Verify at the official NPI Registry.