Individual provider Active NPI

Martha Ann Holley, OTR L CHT

  • Occupational Therapist
  • Madison, AL
National Provider Identifier
1598828105
Registry record updated Sep 6, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
4585 Issued in AL
Practice address
8075 Madison Blvd
Suite 101
Madison, AL 35758-2042
Phone
(256) 270-9595
Fax
(256) 489-6545
NPI assigned
Dec 18, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 6, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 000960 GA
Hand Occupational Therapist 225XH1200X 9711000526 GA
Occupational Therapist 225X00000X 4585 AL Primary

Addresses

Primary practice location

8075 Madison Blvd
Suite 101
Madison, AL 35758-2042

Mailing address

8075 Madison Blvd
Suite 101
Madison, AL 35758-2042
Phone (256) 270-9595

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230125002533 AL Practitioner - Occupational Therapist in Private Practice 1658553573 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
University of Alabama School of Medicine, 1988
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Choice Rehabilitation Services IncGroup PAC ID 9436201035, 4 clinicians

Practice addresses (Care Compare)

8075 Madison Blvd
Suite 101
Madison, AL 35758-2042
Phone (256) 270-9595

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
000960GAMDOccupational Therapist
9711000526GAMDHand Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Choice Rehabilitation Services Inc CurrentSince Dec 29, 2018 Accepting new patients

Locations

8075 Madison Blvd
Ste 101
Madison, AL 35758
Phone (256) 270-9595

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": "1166400000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1662422400000",
    "number": "1598828105",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8075 MADISON BLVD",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582042",
            "telephone_number": "256-270-9595",
            "fax_number": "256-489-6545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8075 MADISON BLVD",
            "address_2": "SUITE 101",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357582042",
            "telephone_number": "256-270-9595",
            "fax_number": "256-489-6545"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLEY",
        "first_name": "MARTHA",
        "middle_name": "ANN",
        "name_prefix": "Ms.",
        "credential": "OTR L CHT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-12-18",
        "last_updated": "2022-09-06",
        "certification_date": "2022-08-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "000960",
            "primary": false
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "GA",
            "license": "9711000526",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "4585",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2022; 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.