Active NPI
Stephanie Holzback
- Occupational Therapist
- Noblesville, IN
National Provider Identifier
1780157701
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 31006173A
- Practice address
- 10340 Pleasant St Ste 100
Noblesville, IN 46060-3947 - Phone
- (317) 776-9000
- Fax
- (317) 776-9016
- NPI assigned
- Jan 3, 2019
- 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 Therapist | 225X00000X | 31006173A | IN | Primary |
Addresses
Primary practice location
10340 Pleasant St Ste 100
Noblesville, IN 46060-3947
Mailing address
12742 Brady LN
Noblesville, IN 46060-4519
Phone (812) 870-5334
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
| License | State | Type | Specialty |
|---|---|---|---|
| 31006173A | IN | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1546473600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1546473600000",
"number": "1780157701",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "12742 BRADY LN",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460604519",
"telephone_number": "812-870-5334"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "10340 PLEASANT ST STE 100",
"city": "NOBLESVILLE",
"state": "IN",
"postal_code": "460603947",
"telephone_number": "317-776-9000",
"fax_number": "317-776-9016"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLZBACK",
"first_name": "STEPHANIE",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-01-03",
"last_updated": "2019-01-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "IN",
"license": "31006173A",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Noblesville, IN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.