Holly Lynn Anderson, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

982 Issued in MT

Practice address

612 E Main St
Suite C
Bozeman, MT 59715-3719

Phone

(406) 522-3722

Fax

(406) 522-0018

NPI assigned

May 7, 2007

Last updated

Jul 8, 2007By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Epicenter Therapy Services PLLC

  • Occupational Therapy Assistant
  • Bozeman, MT
  • NPI 1164551222
  NPD (past)

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

{
    "created_epoch": "1178496000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1982817029",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "244 GREEN TREE DR",
            "city": "BELGRADE",
            "state": "MT",
            "postal_code": "597149519",
            "telephone_number": "406-939-0793"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "612 E MAIN ST",
            "address_2": "SUITE C",
            "city": "BOZEMAN",
            "state": "MT",
            "postal_code": "597153719",
            "telephone_number": "406-522-3722",
            "fax_number": "406-522-0018"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ANDERSON",
        "first_name": "HOLLY",
        "middle_name": "LYNN",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-07",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MT",
            "license": "982",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alexis Paige Anderson, D.O.
• Amy Dawn Anderson
• Andrea Esther Anderson, MSW, SWLC
• Candace J Anderson, LCPC
• Hannah Marie Anderson
• Ian Anderson
• Jason Thomas Anderson, MD
• Jenenne Howell Anderson, LCPC
• Jessica Lynn Anderson, PA-C
• John Anderson, O.D.

• Occupational Therapy Assistant in Bozeman, MT
• Providers in Bozeman, MT by specialty
• Occupational Therapy Assistant in Montana

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.