Individual provider Active NPI

Holly Rose Knuth, OTR

  • Occupational Therapist
  • La Crosse, WI
National Provider Identifier
1972748440
Registry record updated Dec 11, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
875026 Issued in WI
Practice address
3501 Park Lane Drive
Hillview Health Care Center
Lacrosse, WI 54601
Phone
(608) 789-4800
Fax
(608) 789-7882
NPI assigned
Dec 11, 2008
Last updated
Dec 11, 2008By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Dec 11, 2008

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 875026 WI Primary

Addresses

Primary practice location

3501 Park Lane Drive
Hillview Health Care Center
Lacrosse, WI 54601

Mailing address

66 Shady Oak CT
Winona, MN 55987-6034
Phone (507) 454-0000

Other identifiers 1

IdentifierTypeStateIssuer
40808200MedicaidWI

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

LicenseStateTypeSpecialty
875026WIMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Network Inc Past Accepting new patients
Therapy Network, Inc Past 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1228953600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1228953600000",
    "number": "1972748440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "66 SHADY OAK CT",
            "city": "WINONA",
            "state": "MN",
            "postal_code": "559876034",
            "telephone_number": "507-454-0000",
            "fax_number": "507-454-0000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3501 PARK LANE DRIVE",
            "address_2": "HILLVIEW HEALTH CARE CENTER",
            "city": "LACROSSE",
            "state": "WI",
            "postal_code": "54601",
            "telephone_number": "608-789-4800",
            "fax_number": "608-789-7882"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KNUTH",
        "first_name": "HOLLY",
        "middle_name": "ROSE",
        "name_prefix": "Mrs.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-12-11",
        "last_updated": "2008-12-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "875026",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "40808200",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in La Crosse, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 11, 2008; 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.