Individual provider Active NPI

Mary M Holstein, LOT

  • Occupational Therapist
  • Saginaw, TX
National Provider Identifier
1477608461
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
104978 Issued in TX
Practice address
909 Hemlock TRL
Saginaw, TX 76131-3551
Phone
(817) 847-8412
NPI assigned
Jan 23, 2007
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 104978 TX Primary

Addresses

Primary practice location

909 Hemlock TRL
Saginaw, TX 76131-3551

Mailing address

909 Hemlock TRL
Saginaw, TX 76131-3551
Phone (817) 847-8412

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)
Enrolled

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1477608461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "909 HEMLOCK TRL",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313551",
            "telephone_number": "817-847-8412"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 HEMLOCK TRL",
            "city": "SAGINAW",
            "state": "TX",
            "postal_code": "761313551",
            "telephone_number": "817-847-8412"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLSTEIN",
        "first_name": "MARY",
        "middle_name": "M",
        "credential": "LOT",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-23",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "104978",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Saginaw, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.