Active NPI
Julianne Olds, BA, COTA/L, AHA
- Occupational Therapy Assistant
- New Port Richey, FL
National Provider Identifier
1770111726
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- 359830
- Practice address
- 4821 Myrtle Oak Dr Unit 12
New Port Richey, FL 34653-5319 - Phone
- (727) 992-6814
- NPI assigned
- Mar 27, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | 359830 | FL | Primary |
Addresses
Primary practice location
4821 Myrtle Oak Dr Unit 12
New Port Richey, FL 34653-5319
Mailing address
4821 Myrtle Oak Dr Unit 12
New Port Richey, FL 34653-5319
Phone (727) 992-6814
Other practice location 1
14622 Family Trl
Hudson, FL 34669-3644
Phone (727) 992-6814
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
- Credentials
- Bachelor of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 359830 | FL | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hoofprints to Heal, LLC | Occupational Therapy Assistant | Current | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1585267200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1585267200000",
"number": "1770111726",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4821 MYRTLE OAK DR UNIT 12",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535319",
"telephone_number": "727-992-6814"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4821 MYRTLE OAK DR UNIT 12",
"city": "NEW PORT RICHEY",
"state": "FL",
"postal_code": "346535319",
"telephone_number": "727-992-6814"
}
],
"practiceLocations": [
{
"address_1": "14622 Family Trl",
"address_purpose": "LOCATION",
"city": "Hudson",
"state": "FL",
"postal_code": "346693644",
"country_code": "US",
"telephone_number": "727-992-6814",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "OLDS",
"first_name": "JULIANNE",
"credential": "BA, COTA/L, AHA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-03-27",
"last_updated": "2020-03-27",
"certification_date": "2020-03-27",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "FL",
"license": "359830",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in New Port Richey, FL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 27, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.