Jade Elise Holloway, OTD, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT005424 Issued in GA

Practice address

140 Decatur St SE
Atlanta, GA 30303-3204

Phone

(678) 833-6833

Fax

(770) 517-5513

NPI assigned

Mar 7, 2012

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

• Dr. Jade Elise Holloway Former name

Medicare fee-for-service enrollment

Enrolled in GA

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Washington University School of Medicine, 2011

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Esop Rehabilitation LLCGroup PAC ID 9739305749, 224 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

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.

• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1164182333

  GA

  Medicare reassignment Care Compare group NPD
• Esop Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Conyers, GA
  • NPI 1811319023
  Care Compare group NPD
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Atlanta, GA
  • NPI 1962824003
  Care Compare group NPD (past)
• Esop Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Marietta, GA
  • NPI 1548699127
  Care Compare group
• Esop Rehabilitation LLC

  • Physical Therapy Clinic/Center
  • Norcross, GA
  • NPI 1629490743
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Griffin, GA
  • NPI 1194147215
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Tucker, GA
  • NPI 1730501982
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Morrow, GA
  • NPI 1780006825
  Care Compare group
• Esop Rehabilitation, LLC

  • Physical Therapy Clinic/Center
  • Cumming, GA
  • NPI 1962824177
  Care Compare group

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

{
    "created_epoch": "1331078400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696982400000",
    "number": "1396019402",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2734 ESQUIRE WAY",
            "city": "TUCKER",
            "state": "GA",
            "postal_code": "300842815",
            "telephone_number": "678-833-6833"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 DECATUR ST SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303033204",
            "telephone_number": "678-833-6833",
            "fax_number": "770-517-5513"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLOWAY",
        "first_name": "JADE",
        "middle_name": "ELISE",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-03-07",
        "last_updated": "2023-10-11",
        "certification_date": "2023-10-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT005424",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JADE",
            "last_name": "HOLLOWAY",
            "middle_name": "ELISE",
            "prefix": "DR.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• John Cameron Hollister Jr., L.AC.
• Nancy C Hollmeyer, LCSW
• McKenzie Mayo Hollon, M.D.
• Arielle Holloway, LMSW
• Deena Gail Holloway, FNP-C
• Katie Holloway, PHARM.D.
• Kelvin J Holloway, MD
• Keri Alicia Holloway, MD
• Kimberli Holloway
• Parker Jewell Holloway IV

• All providers in Atlanta, GA
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 11, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.