Active NPI
Paula Michelle Holm, OTR, MS
- Occupational Therapist
- Kansas City, MO
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2016028296
- Practice address
- 3355 Main St
Kansas City, MO 64111-1904 - Phone
- (816) 399-4640
- Fax
- (816) 743-7413
- NPI assigned
- Nov 10, 2016
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2016028296 | MO | Primary |
| Occupational Therapist | 225X00000X | 17-03226 | KS |
Addresses
Primary practice location
3355 Main St
Kansas City, MO 64111-1904
Mailing address
8823 Production LN
Ooltewah, TN 37363-6511
Phone (423) 238-7217
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO, KS
Enrollment records 2
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2016
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
3355 Main St
Kansas City, MO 64111-1904
Phone (816) 399-0806
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
- Credentials
- Master of Science
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Serc Rehabilitation Partners, LLC | Occupational Therapist | Current | Accepting new patients |
| Serc Rebabilitation Partners, LLC | Occupational Therapist | Current | Accepting new patients |
Locations
1200 Corporate Dr
Ste 400
Hoover, AL 35242
Phone (423) 238-7568
13035 Kansas Ave
Bonner Springs, KS 66012
Phone (913) 721-6362
7211 W 110th St
Overland Park, KS 66210
Phone (913) 451-7372
1225 SW State Route 7
Blue Springs, MO 64014
Phone (816) 295-2051
109 W Franklin St
Clinton, MO 64735
Phone (660) 383-1280
7932 N Oak Trfy
Ste 212
Kansas City, MO 64118
Phone (816) 420-0286
3355 Main St
Kansas City, MO 64111
Phone (816) 399-0806
8823 Production Ln
Ooltewah, TN 37363
Phone (423) 238-8923
Organizations & group practices 2
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.
-
- Physical Therapist
- Belton, MO
- NPI 1760745244
KS, Occupational Therapist
-
- Physical Therapist
- Overland Park, KS
- NPI 1598190209
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1478736000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1478736000000",
"number": "1871035683",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8823 PRODUCTION LN",
"city": "OOLTEWAH",
"state": "TN",
"postal_code": "373636511",
"telephone_number": "423-238-7217",
"fax_number": "423-238-3473"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3355 MAIN ST",
"city": "KANSAS CITY",
"state": "MO",
"postal_code": "641111904",
"telephone_number": "816-399-4640",
"fax_number": "816-743-7413"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLM",
"first_name": "PAULA",
"middle_name": "MICHELLE",
"credential": "OTR, MS",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-11-10",
"last_updated": "2016-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2016028296",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "KS",
"license": "17-03226",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Kansas City, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.