NPIMap

Individual provider Active NPI

Shaqueala Holly

  • Occupational Therapist
  • Roseville, MI
National Provider Identifier
1942558846
Registry record updated Aug 27, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
5201007660 Issued in MI
Practice address
18285 E 10 Mile Rd
Suite. 100
Roseville, MI 48066-5802
Phone
(586) 774-5774
NPI assigned
Aug 27, 2012
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2012

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 5201007660 MI Primary

Addresses

Primary practice location

18285 E 10 Mile Rd
Suite. 100
Roseville, MI 48066-5802

Mailing address

5005 Bantry Dr
West Bloomfield, MI 48322-1531
Phone (313) 778-5844

Other names 1

  • Shaqueala Lowery Other name

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
HC Rehab Solutions LLC Occupational Therapist Past Accepting new patients
In Home Rehab,LLC Occupational Therapist PastSince Jan 1, 2003 Accepting new patients

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.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1346025600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1346025600000",
    "number": "1942558846",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5005 BANTRY DR",
            "city": "WEST BLOOMFIELD",
            "state": "MI",
            "postal_code": "483221531",
            "telephone_number": "313-778-5844"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18285 E 10 MILE RD",
            "address_2": "SUITE. 100",
            "city": "ROSEVILLE",
            "state": "MI",
            "postal_code": "480665802",
            "telephone_number": "586-774-5774"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLLY",
        "first_name": "SHAQUEALA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-08-27",
        "last_updated": "2012-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MI",
            "license": "5201007660",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SHAQUEALA",
            "last_name": "LOWERY",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roseville, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.