Individual provider Active NPI

Holly Louise Trumble, MOT/L

  • Occupational Therapist
  • Bartlesville, OK
National Provider Identifier
1497385546
Registry record updated Jan 16, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5229 Issued in OK
Practice address
117 W 5TH St # 1
Bartlesville, OK 74003-6651
Phone
(918) 203-3313
Fax
(918) 512-4082
NPI assigned
Jan 16, 2020
Last updated
Jan 16, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 16, 2020

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 5229 OK Primary

Addresses

Primary practice location

117 W 5TH St # 1
Bartlesville, OK 74003-6651

Mailing address

117 W 5TH St Ste 1
Bartlesville, OK 74003-6651
Phone (918) 203-3313

Other identifiers 1

IdentifierTypeStateIssuer
5229OtherOKSTATE

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL online Direct

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

State licenses

LicenseStateTypeSpecialty
5229OKMDPhysician Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Bartlesville Pediatric Occupational Therapy, LLC Occupational Therapist PastSince Jan 19, 2020 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, 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": "1579132800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1579132800000",
    "number": "1497385546",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST STE 1",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036651",
            "telephone_number": "918-203-3313",
            "fax_number": "918-512-4082"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "117 W 5TH ST # 1",
            "city": "BARTLESVILLE",
            "state": "OK",
            "postal_code": "740036651",
            "telephone_number": "918-203-3313",
            "fax_number": "918-512-4082"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "TRUMBLE",
        "first_name": "HOLLY",
        "middle_name": "LOUISE",
        "credential": "MOT/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2020-01-16",
        "last_updated": "2020-01-16",
        "certification_date": "2020-01-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OK",
            "license": "5229",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE",
            "identifier": "5229",
            "state": "OK"
        }
    ],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "online",
            "affiliation": "N",
            "endpointDescription": "efax",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "117 W 5th St # 1",
            "city": "Bartlesville",
            "state": "OK",
            "country_code": "US",
            "postal_code": "740036651",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bartlesville, OK

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2020; 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.