Holly Dicicco, MOT, OTR/L

Primary specialty

Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X

License

OT 4676 Issued in OH

Practice address

109 Blossom LN
Salem, OH 44460-4284

Phone

(330) 337-3033

NPI assigned

Mar 14, 2016

Last updated

Mar 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 2

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": "1457913600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457913600000",
    "number": "1710348032",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2002 COLONY DR",
            "city": "ALIQUIPPA",
            "state": "PA",
            "postal_code": "150019560",
            "telephone_number": "412-965-6131"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "109 BLOSSOM LN",
            "city": "SALEM",
            "state": "OH",
            "postal_code": "444604284",
            "telephone_number": "330-337-3033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DICICCO",
        "first_name": "HOLLY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-03-14",
        "last_updated": "2016-03-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "OH",
            "license": "OT 4676",
            "primary": true
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "PA",
            "license": "OC006060L",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin D Dell, MD
• Lori Sue Denney, LPN
• Barbara Denny, MS.ED LPCC
• Dental Health Group, Terrence P. Flinn, D.D.S., Ted a Schuster, D.D.S.
• Katelyn Desko
• Gabrielle Barbara Dickerhoof, NP-C
• Jordan Dickey
• Heather Marie Dicross, M.D.
• Walter W Dombroski, M.D.
• Michael Philip Dombrowski, RPH

• Physical Rehabilitation Occupational Therapist in Salem, OH
• Providers in Salem, OH by specialty
• Physical Rehabilitation Occupational Therapist in Ohio

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