Individual provider Active NPI

Gina Margarita Holan, OTR

  • Occupational Therapist
  • Miami, FL
National Provider Identifier
1649307240
Registry record updated Jul 12, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT9632 Issued in FL
Practice address
4284 SW 161 Place
Miami, FL 33185
Phone
(786) 208-2813
Fax
(305) 228-6251
NPI assigned
Feb 28, 2007
Last updated
Jul 12, 2010By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 12, 2010

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 OT9632 FL Primary

Addresses

Primary practice location

4284 SW 161 Place
Miami, FL 33185

Mailing address

5201 W Park Rd
Hollywood, FL 33021-3323
Phone (305) 323-2161

Other identifiers 1

IdentifierTypeStateIssuer
890323900MedicaidFL

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070905000438 FL Practitioner - Occupational Therapist in Private Practice 1456444512 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2000
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fox Rehab OT FL LLCGroup PAC ID 7810395696, 55 clinicians

Practice addresses (Care Compare)

Sarasota, FL 34238
Phone (877) 407-3422

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT9632FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
In Home Rehab of Florida PLLC Occupational Therapist CurrentSince Jun 2, 2016 Accepting new patients
Fox Rehab OT FL LLC Occupational Therapist CurrentSince Jul 1, 2024 Accepting new patients
B & V Thera Pro Associates Corp Occupational Therapist PastSince Dec 3, 2009 Accepting new patients

Locations

3882 Central Sarasota Pkwy
Sarasota, FL 34238
Phone (941) 282-7965

Organizations & group practices 3

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1278892800000",
    "number": "1649307240",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5201 W PARK RD",
            "city": "HOLLYWOOD",
            "state": "FL",
            "postal_code": "330213323",
            "telephone_number": "305-323-2161"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4284 SW 161 PLACE",
            "city": "MIAMI",
            "state": "FL",
            "postal_code": "33185",
            "telephone_number": "786-208-2813",
            "fax_number": "305-228-6251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLAN",
        "first_name": "GINA",
        "middle_name": "MARGARITA",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2010-07-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT9632",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "890323900",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Miami, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 12, 2010; 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.