Individual provider Active NPI

Holly Bayes Millard, O.T.

  • Occupational Therapist
  • Kalamazoo, MI
National Provider Identifier
1467490938
Registry record updated Oct 16, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201005581 Issued in MI
Practice address
601 John St
Suite M-230
Kalamazoo, MI 49007-5341
Phone
(269) 349-8601
Fax
(269) 349-6446
NPI assigned
Jun 4, 2006
Last updated
Oct 16, 2014By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 16, 2014

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 5201005581 MI Primary

Addresses

Primary practice location

601 John St
Suite M-230
Kalamazoo, MI 49007-5341

Mailing address

601 John St
Suite M-230
Kalamazoo, MI 49007-5341
Phone (269) 349-8601

Other identifiers 2

IdentifierTypeStateIssuer
670C900250OtherMIBCBS
155812OtherGREAT LAKES HLTH PLN

Other names 1

  • Ms. Holly Ann Bayes Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MI

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20060307000081 MI Practitioner - Occupational Therapist in Private Practice 7517877368 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Great Lakes Hand Therapy PCGroup PAC ID 0840109930, 5 clinicians

Practice addresses (Care Compare)

3600 Capital Ave SW
Suite 103
Battle Creek, MI 49015-9393
Phone (269) 979-0874

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
5201005581MIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Great Lakes Hand Therapy PC Occupational Therapist CurrentSince Jan 7, 2025 Accepting new patients
Great Lakes Hand Therapy PC Occupational Therapist CurrentSince Jan 7, 2025 Accepting new patients
Healthcare Midwest, PC Past Accepting new patients
Healthcare Midwest PC Past Accepting new patients

Locations

2545 Capital Ave SW
Ste 201
Battle Creek, MI 49015
Phone (269) 224-6190

7971 Moorsbridge Rd
Portage, MI 49024
Phone (269) 321-0929

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1149379200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1413417600000",
    "number": "1467490938",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-230",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-349-8601",
            "fax_number": "269-349-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 JOHN ST",
            "address_2": "SUITE M-230",
            "city": "KALAMAZOO",
            "state": "MI",
            "postal_code": "490075341",
            "telephone_number": "269-349-8601",
            "fax_number": "269-349-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MILLARD",
        "first_name": "HOLLY",
        "middle_name": "BAYES",
        "name_prefix": "Mrs.",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-06-04",
        "last_updated": "2014-10-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201005581",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "670C900250",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "GREAT LAKES HLTH PLN",
            "identifier": "155812",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "HOLLY",
            "last_name": "BAYES",
            "middle_name": "ANN",
            "prefix": "MS.",
            "credential": "O.T.",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Kalamazoo, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 2014; 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.