Taylor Landholm, OT

Primary specialty

Sports Medicine (Physical Medicine & Rehabilitation) PhysicianTaxonomy code 2081S0010X

License

110636 Issued in IA

Practice address

3100 S Lakeport St
Sioux City, IA 51106-4222

Phone

(712) 277-4442

NPI assigned

Oct 6, 2021

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

Electronic endpoints 1

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": "1633478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1633478400000",
    "number": "1720740947",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3100 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3100 S LAKEPORT ST",
            "city": "SIOUX CITY",
            "state": "IA",
            "postal_code": "511064222",
            "telephone_number": "712-277-4442"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LANDHOLM",
        "first_name": "TAYLOR",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-06",
        "last_updated": "2021-10-06",
        "certification_date": "2021-10-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "2081S0010X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation, Sports Medicine",
            "state": "IA",
            "license": "110636",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "landholmt@tristatenursing.com",
            "affiliation": "Y",
            "affiliationName": "Tri State Nursing Enterprises Inc",
            "address_1": "3100 S Lakeport St",
            "city": "Sioux City",
            "state": "IA",
            "country_code": "US",
            "postal_code": "511064222",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shauna L Lafleur, M.D.
• Shelby Lynn Lakes, NP-C
• Jennifer Ashley Lamb, P.T
• Daniel Lamptey, M.D.
• Sabrina Joann Landesman, LMSW
• Sarah Landsness, MA
• Deborah Landwehr, LMFTT
• Stacey Langley
• Anne Marie Langlois
• Jonathon Lapaglia, CADC

• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Sioux City, IA
• Providers in Sioux City, IA by specialty
• Sports Medicine (Physical Medicine & Rehabilitation) Physician in Iowa

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2021; 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.