Active NPI
Leanne Evelyn Holland, OTR/L
- Occupational Therapist
- Worcester, MA
National Provider Identifier
1780174854
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 12690
- Practice address
- 484 Main St Ste 600
Worcester, MA 01608-1881 - Phone
- (800) 244-2756
- Fax
- (508) 831-9768
- NPI assigned
- May 15, 2018
- Sex
- Female
- Sole proprietor
- No
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 | 12690 | MA | Primary |
Addresses
Primary practice location
484 Main St Ste 600
Worcester, MA 01608-1881
Mailing address
19 Tiffany Cir
West Bridgewater, MA 02379-1240
Phone (774) 274-2168
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 |
|---|---|---|---|
| 12690 | MA | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1526342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1526342400000",
"number": "1780174854",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "19 TIFFANY CIR",
"city": "WEST BRIDGEWATER",
"state": "MA",
"postal_code": "023791240",
"telephone_number": "774-274-2168"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "484 MAIN ST STE 600",
"city": "WORCESTER",
"state": "MA",
"postal_code": "016081881",
"telephone_number": "800-244-2756",
"fax_number": "508-831-9768"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLLAND",
"first_name": "LEANNE",
"middle_name": "EVELYN",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-05-15",
"last_updated": "2018-05-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MA",
"license": "12690",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Worcester, MA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 15, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.