Individual provider Active NPI

Holly Sizemore

  • Occupational Therapist
  • Dothan, AL
National Provider Identifier
1649979485
Registry record updated Mar 1, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6007 Issued in AL
Practice address
122 S Woodburn Dr
Dothan, AL 36305-1020
Phone
(334) 596-0953
NPI assigned
Mar 1, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 1, 2023

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 6007 AL Primary

Addresses

Primary practice location

122 S Woodburn Dr
Dothan, AL 36305-1020

Mailing address

122 S Woodburn Dr
Dothan, AL 36305-1020
Phone (334) 446-1425

Other practice location 1

1016 Boll Weevil Cir Ste 2
Enterprise, AL 36330-1317
Phone (334) 417-0235

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
6007ALMDSpeech-Language Pathologist

Practice roles

OrganizationSpecialtyStatusNew patients
Wiregrass Therapy Associates, LLC PastSince Mar 5, 2023 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 and National Provider Directory roles.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1677628800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1677628800000",
    "number": "1649979485",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "122 S WOODBURN DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051020",
            "telephone_number": "334-446-1425"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "122 S WOODBURN DR",
            "city": "DOTHAN",
            "state": "AL",
            "postal_code": "363051020",
            "telephone_number": "334-596-0953"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1016 Boll Weevil Cir Ste 2",
            "address_purpose": "LOCATION",
            "city": "Enterprise",
            "state": "AL",
            "postal_code": "363301317",
            "country_code": "US",
            "telephone_number": "334-417-0235",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SIZEMORE",
        "first_name": "HOLLY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-03-01",
        "last_updated": "2023-03-01",
        "certification_date": "2023-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AL",
            "license": "6007",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dothan, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2023; 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.