Collette Angelle Holmes, MOT, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT 8903 Issued in UT

Practice address

759 E Linden Ave
Salt Lake City, UT 84102-2210

Phone

(415) 425-3663

NPI assigned

Jul 22, 2007

Last updated

Apr 14, 2016By the provider in NPPES

Sex

Female

Sole proprietor

No

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1185062400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1460592000000",
    "number": "1689874216",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "759 E LINDEN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022210",
            "telephone_number": "415-425-3663"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "759 E LINDEN AVE",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841022210",
            "telephone_number": "415-425-3663"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLMES",
        "first_name": "COLLETTE",
        "middle_name": "ANGELLE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-07-22",
        "last_updated": "2016-04-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "UT",
            "license": "OT 8903",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Russel Chad Holman
• William Richard Holmberg II, D.D.S.
• Anastasia Holmen
• Archie Holmes, RPH
• Britt Holmes, PSYD
• Ed Holmes, MD
• Matthew Turner Holmes, D.C., C.C.E.P.
• Sarah Holmes
• Victoria Holmes, LCSW
• Heather Holmgren Holmgren, LMFT

• Occupational Therapist in Salt Lake City, UT
• Providers in Salt Lake City, UT by specialty
• Occupational Therapist in Utah

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 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.

Verify at the official NPI Registry.