Active NPI
Steven Holefelder, OTR/L
- Occupational Therapist
- Paoli, PA
National Provider Identifier
1639906316
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OC003661L
- Practice address
- 16 Industrial Blvd
Paoli, PA 19301-1609 - Phone
- (610) 695-6315
- NPI assigned
- Sep 17, 2024
- Sex
- Male
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OC003661L | PA | Primary |
Addresses
Primary practice location
16 Industrial Blvd
Paoli, PA 19301-1609
Mailing address
3766 Susan LN
Brookhaven, PA 19015-2223
Phone (610) 283-7354
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 |
|---|---|---|---|
| OC003661L | PA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1726531200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1726531200000",
"number": "1639906316",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3766 SUSAN LN",
"city": "BROOKHAVEN",
"state": "PA",
"postal_code": "190152223",
"telephone_number": "610-283-7354"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "16 INDUSTRIAL BLVD",
"city": "PAOLI",
"state": "PA",
"postal_code": "193011609",
"telephone_number": "610-695-6315"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLEFELDER",
"first_name": "STEVEN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2024-09-17",
"last_updated": "2024-09-17",
"certification_date": "2024-09-12",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "PA",
"license": "OC003661L",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paoli, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 17, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.