Active NPI
Desirae Michele Holmes, OTR
- Occupational Therapist
- Milford, DE
National Provider Identifier
1902569882
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 100 Delaware Veterans Blvd
Milford, DE 19963-5395 - Phone
- (302) 424-6000
- NPI assigned
- Oct 18, 2021
- 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 | DE | Primary |
Addresses
Primary practice location
100 Delaware Veterans Blvd
Milford, DE 19963-5395
Mailing address
114 Cobalt Cross Rd
Levittown, PA 19057-1735
Phone (215) 239-4200
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1634515200000",
"number": "1902569882",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "114 COBALT CROSS RD",
"city": "LEVITTOWN",
"state": "PA",
"postal_code": "190571735",
"telephone_number": "215-239-4200"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "100 DELAWARE VETERANS BLVD",
"city": "MILFORD",
"state": "DE",
"postal_code": "199635395",
"telephone_number": "302-424-6000"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLMES",
"first_name": "DESIRAE",
"middle_name": "MICHELE",
"credential": "OTR",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2021-10-18",
"last_updated": "2021-10-18",
"certification_date": "2021-10-18",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "DE",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Milford, DE
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 18, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.