Grace Victoria Hollifield, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

10602 Issued in NC

Practice address

1294 Priddy Rd
King, NC 27021-7485

Phone

(336) 296-1427

NPI assigned

Jul 29, 2010

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Other names 1

• Grace Victoria Willard Former name

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1280361600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1665100800000",
    "number": "1376857672",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1008 LAVENDER LN",
            "city": "KERNERSVILLE",
            "state": "NC",
            "postal_code": "272840038",
            "telephone_number": "336-207-2397"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1294 PRIDDY RD",
            "city": "KING",
            "state": "NC",
            "postal_code": "270217485",
            "telephone_number": "336-296-1427"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "411 Windmill St",
            "address_purpose": "LOCATION",
            "city": "Walnut Cove",
            "state": "NC",
            "postal_code": "270527705",
            "country_code": "US",
            "telephone_number": "336-536-0051",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HOLLIFIELD",
        "first_name": "GRACE",
        "middle_name": "VICTORIA",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2010-07-29",
        "last_updated": "2022-10-07",
        "certification_date": "2022-10-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NC",
            "license": "7598",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10602",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ghollifield@ageility.com",
            "affiliation": "Y",
            "endpointDescription": "professional email",
            "affiliationName": "Five Star Quality Care-NJ, LLC",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "1294 Priddy Rd",
            "city": "King",
            "state": "NC",
            "country_code": "US",
            "postal_code": "270217485",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "first_name": "GRACE",
            "last_name": "WILLARD",
            "middle_name": "VICTORIA",
            "credential": "COTA/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Austin Haymore, DPT
• Katherine Blackmon Haymore, CPNP
• Katelyn Joyce Henderson, D.D.S.
• Natasha Shurketra Hjorth, LCMHC, LCAS-A
• Ashley Nicole Holder, NP-C
• Rebecca Frasher Horton, RN
• Kaleab Mycheal Damien Hubbard-Holden, PTA
• Tonya Teague Hughes, PHARMD
• Instride Foot and Ankle Specialists, PLLC
• Rebecca Kaye Jackson, MSW, LCSW

• Occupational Therapist in King, NC
• Providers in King, NC by specialty
• Occupational Therapist in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; 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.