Active NPI
Marissa Leigh Holt, MOTR/L
- Occupational Therapist
- Ironton, MO
National Provider Identifier
1942929419
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2017022967
- Practice address
- 700 Park Dr
Ironton, MO 63650-1480 - Phone
- (573) 546-9700
- NPI assigned
- Aug 26, 2022
- 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 | 2017022967 | MO | Primary |
Addresses
Primary practice location
700 Park Dr
Ironton, MO 63650-1480
Mailing address
509 Cobblestone CT
Farmington, MO 63640-7492
Phone (573) 701-2002
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 |
|---|---|---|---|
| 2017022967 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Arcadia Valley Reorganized School District No. 2 | Occupational Therapist | Past | Accepting new patients |
Organizations & group practices 1
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.
-
- Occupational Therapist
- Ironton, MO
- NPI 1649339284
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1661472000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1942929419",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "509 COBBLESTONE CT",
"city": "FARMINGTON",
"state": "MO",
"postal_code": "636407492",
"telephone_number": "573-701-2002"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "700 PARK DR",
"city": "IRONTON",
"state": "MO",
"postal_code": "636501480",
"telephone_number": "573-546-9700"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HOLT",
"first_name": "MARISSA",
"middle_name": "LEIGH",
"credential": "MOTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2022-08-26",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2017022967",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ironton, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.