Individual provider Active NPI

Kerstin Marie Hollan

  • Occupational Therapist
  • Houston, TX
National Provider Identifier
1720749567
Registry record updated Jan 4, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
122078 Issued in TX
Practice address
17200 State Highway 249 Ste 150
Houston, TX 77064-1319
Phone
(281) 664-6900
NPI assigned
Jan 4, 2022
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jan 4, 2022

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 122078 TX Primary

Addresses

Primary practice location

17200 State Highway 249 Ste 150
Houston, TX 77064-1319

Mailing address

4003 Vicenza Ave
Katy, TX 77493-2877
Phone (713) 417-1602

Other identifiers 2

IdentifierTypeStateIssuer
122078OtherTXTBOTE LICENSE
35056225OtherTXTEXAS DRIVER'S LICENSE

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
122078TXMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Cole Health, Inc. CurrentSince Jan 17, 2022 Accepting new patients

Locations

17200 Tomball Pkwy
Ste 150
Houston, TX 77064
Phone (281) 664-1990

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.

NPI Registry JSON

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

{
    "created_epoch": "1641254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1641254400000",
    "number": "1720749567",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4003 VICENZA AVE",
            "city": "KATY",
            "state": "TX",
            "postal_code": "774932877",
            "telephone_number": "713-417-1602"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "17200 STATE HIGHWAY 249 STE 150",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770641319",
            "telephone_number": "281-664-6900"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLAN",
        "first_name": "KERSTIN",
        "middle_name": "MARIE",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-01-04",
        "last_updated": "2022-01-04",
        "certification_date": "2022-01-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "122078",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TBOTE LICENSE",
            "identifier": "122078",
            "state": "TX"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "TEXAS DRIVER'S LICENSE",
            "identifier": "35056225",
            "state": "TX"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Houston, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2022; 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.