Individual provider Active NPI

Holly Slabbert, OTR/L

  • Occupational Therapist
  • Gearhart, OR
National Provider Identifier
1669951372
Registry record updated Aug 13, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
397356 Issued in OR
Practice address
3621 Highway 101 N
Gearhart, OR 97138-4321
Phone
(503) 717-7788
Fax
(503) 717-7777
NPI assigned
Aug 13, 2018
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 13, 2018

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 397356 OR Primary

Addresses

Primary practice location

3621 Highway 101 N
Gearhart, OR 97138-4321

Mailing address

3621 Highway 101 N
Gearhart, OR 97138-4321
Phone (503) 717-7788

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
397356ORMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1534118400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534118400000",
    "number": "1669951372",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3621 HIGHWAY 101 N",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384321",
            "telephone_number": "503-717-7788",
            "fax_number": "503-717-7777"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3621 HIGHWAY 101 N",
            "city": "GEARHART",
            "state": "OR",
            "postal_code": "971384321",
            "telephone_number": "503-717-7788",
            "fax_number": "503-717-7777"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SLABBERT",
        "first_name": "HOLLY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2018-08-13",
        "last_updated": "2018-08-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "OR",
            "license": "397356",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gearhart, OR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2018; 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.