Active NPI
Debra L Holloway, OT
- Occupational Therapist
- Elkton, MD
National Provider Identifier
1679646863
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 06504
- Practice address
- 137 W High St Ste 3
Elkton, MD 21921-8600 - Phone
- (410) 392-7027
- Fax
- (410) 392-5768
- NPI assigned
- Nov 16, 2006
- Sex
- Female
- 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 | U10000067 | DE | |
| Occupational Therapist | 225X00000X | 06504 | MD | Primary |
Addresses
Primary practice location
137 W High St Ste 3
Elkton, MD 21921-8600
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Phone (630) 296-2223
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0742831000 | Other | PA | AMERIHEALTH/IBC |
| 1679646863 | Other | CHAMPUS TRICARE |
Other names 1
- Debra L Ressler
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| U10000067 | DE | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Christiana Care Health Initiatives | Past | 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.
-
dba CCHI Specialty Services
- Hospice and Palliative Medicine (Internal Medicine) Physician
- Newark, DE
- NPI 1386249738
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1163635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1459468800000",
"number": "1679646863",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "790 REMINGTON BLVD",
"city": "BOLINGBROOK",
"state": "IL",
"postal_code": "604404909",
"telephone_number": "630-296-2223",
"fax_number": "630-759-3251"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "137 W HIGH ST STE 3",
"city": "ELKTON",
"state": "MD",
"postal_code": "219218600",
"telephone_number": "410-392-7027",
"fax_number": "410-392-5768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLOWAY",
"first_name": "DEBRA",
"middle_name": "L",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-11-16",
"last_updated": "2016-04-01",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": "U10000067",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MD",
"license": "06504",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "AMERIHEALTH/IBC",
"identifier": "0742831000",
"state": "PA"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "CHAMPUS TRICARE",
"identifier": "1679646863",
"state": null
}
],
"endpoints": [],
"other_names": [
{
"first_name": "DEBRA",
"last_name": "RESSLER",
"middle_name": "L",
"credential": "OT",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Elkton, MD
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.