Active NPI
Joylynn Holladay, MS, OTR/L
- Pediatric Occupational Therapist
- Indianapolis, IN
National Provider Identifier
1437675691
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- 31004700A
- Practice address
- 1111 E 54TH St
Indianapolis, IN 46220-3579 - Phone
- (773) 531-2182
- NPI assigned
- Aug 19, 2017
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | 31004700A | IN | Primary |
Addresses
Primary practice location
1111 E 54TH St
Indianapolis, IN 46220-3579
Mailing address
5222 Graceland Ave
Indianapolis, IN 46208-2516
Phone (773) 531-2182
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 31004700A | IN | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Sensory Advantage, LLC | Pediatrics | Current | Accepting new patients |
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": "1503100800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1503100800000",
"number": "1437675691",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5222 GRACELAND AVE",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462082516",
"telephone_number": "773-531-2182"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1111 E 54TH ST",
"city": "INDIANAPOLIS",
"state": "IN",
"postal_code": "462203579",
"telephone_number": "773-531-2182"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLADAY",
"first_name": "JOYLYNN",
"credential": "MS, OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2017-08-19",
"last_updated": "2017-08-19",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "IN",
"license": "31004700A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Indianapolis, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 19, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.