Active NPI
Adam M Holbrook, OTR/L, CHT
- Hand Occupational Therapist
- Santa Cruz, CA
National Provider Identifier
1629487244
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Hand Occupational Therapist
- License
- 4307
- Practice address
- 111 Madrone St
Santa Cruz, CA 95060-2714 - Phone
- (831) 457-7057
- NPI assigned
- Aug 7, 2014
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 18882 | NY | |
| Hand Occupational Therapist | 225XH1200X | 4307 | CA | Primary |
Addresses
Primary practice location
111 Madrone St
Santa Cruz, CA 95060-2714
Mailing address
PO Box 897
Soquel, CA 95073-0897
Phone (510) 610-9056
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
| License | State | Type | Specialty |
|---|---|---|---|
| 4307 | CA | MD | Mental Health Counselor |
| 18882 | NY | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1407369600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658016000000",
"number": "1629487244",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 897",
"city": "SOQUEL",
"state": "CA",
"postal_code": "950730897",
"telephone_number": "510-610-9056"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 MADRONE ST",
"city": "SANTA CRUZ",
"state": "CA",
"postal_code": "950602714",
"telephone_number": "831-457-7057"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLBROOK",
"first_name": "ADAM",
"middle_name": "M",
"credential": "OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2014-08-07",
"last_updated": "2022-07-17",
"certification_date": "2022-07-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NY",
"license": "18882",
"primary": false
},
{
"code": "225XH1200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Hand",
"state": "CA",
"license": "4307",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Santa Cruz, CA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 17, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.