JORDAN HOLT (NPI# 1770088791) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1770088791 |
| Entity Type | Individual |
| Full Name | JORDAN HOLT |
| Credential | COTA |
| Practice Address |
601 Small Country Ln Midland NC 28107-7239 |
| Practice Telephone | 7047710051 |
| Mailing Telephone | 7047710051 |
| Enumeration Date | 2018-03-30 |
| Last Update Date | 2018-03-30 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | 10370 | NC | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | NORTH CAROLINA BOARD OF OT | 10370 | 01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851620371 | Jordan Holt | Behavioral Analyst | 17335 Pagonia Dr, Clermont, FL 34711-6011 | 2009-12-11 |
| 1699232736 | Jordan Michael Holt | Anesthesiologist Assistant | 3300 Nw Expressway, Oklahoma City, OK 73112-4418 | 2019-02-25 |
| Street Address |
601 SMALL COUNTRY LN |
| City | MIDLAND |
| State | NC |
| Zip Code | 28107-7239 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487197547 | Katherine Moore Henriques Fernandez | Occupational Therapist | 601 Small Country Ln, Midland, NC 28107-7239 | 2016-11-22 |
| 1063918027 | Jeannie Legate | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
| 1306342365 | Gabrielle Grubic | Occupational Therapy Assistant | 601 Small Country Ln, Midland, NC 28107-7239 | 2018-03-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649889965 | Jess P West Jr. | Dentist | 12180 Us-601 South, Midland, NC 28107 | 2020-07-23 |
| 1487841250 | Crawley Memorial Hospital Inc. | Skilled Nursing Facility | 315 West College Ave, Boiling Springs, NC 28107 | 2007-09-26 |
| 1912943192 | Amie L Howe | Pharmacist | 12925 Hwy 601 South, Midland, NC 28107 | 2006-06-22 |
| 1225522949 | Luckhardt, Pllc | Clinic/Center | 12925 Highway 601, Midland, NC 28107 | 2018-06-16 |
| 1972986321 | Diana L Millard | Dentist | 12925 Highway 601, Midland, NC 28107 | 2015-07-02 |
| 1437470739 | Janice B Furr | Occupational Therapy Assistant | 8670 Hwy. 200 North, Midland, NC 28107-0000 | 2010-06-21 |
| 1518197623 | Rha Howell Care Center | Respite Care | 11955 Howell Center Drive, Midland, NC 28107-0000 | 2009-07-23 |
| 1831525740 | Easter Seals Ucp North Carolina & Viriginia | Community Based Residential Treatment Facility, Mental Illness | 4293 Highway 24 27 E Ste A, Ste A, Midland, NC 28107-8500 | 2013-09-24 |
| 1942518477 | Dennis Peter Mckeon | Registered Nurse | 4293 Highway 24 27 E Ste D, Midland, NC 28107-8500 | 2010-09-17 |
| 1861728669 | Tammy Truett-porter | Counselor | 4293 Highway 24 27 E Ste D, Midland, NC 28107-8500 | 2009-10-29 |
| Find all providers in zip 28107 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982186219 | Veronica Yero | Occupational Therapy Assistant | 800 Beal Pkwy, Midland, TX 79703 | 2018-09-04 |
| 1831670728 | Shanille Clarke | Occupational Therapy Assistant | 501 S Loop 250 W Apt 818, Midland, TX 79703-2128 | 2018-08-28 |
| 1407208424 | Dawn Kiker | Occupational Therapy Assistant | 2910 Wallace Rd, Midland, NC 28107-9483 | 2016-07-02 |
| 1437470739 | Janice B Furr | Occupational Therapy Assistant | 8670 Hwy. 200 North, Midland, NC 28107-0000 | 2010-06-21 |
| 1033393236 | Monique Shavonne Smith | Occupational Therapy Assistant | 3601 Andrews Hwy Apt 803, Midland, TX 79703-4956 | 2007-12-24 |
| 1356986202 | Annette Bloodworth | Occupational Therapy Assistant | 2800 N Midland Dr, Midland, TX 79707-5536 | 2019-11-14 |
| 1366086746 | Candida Gonzales | Occupational Therapy Assistant | 2800 N Midland Dr, Midland, TX 79707-5536 | 2019-10-29 |
| 1154806743 | Martha Ottinger | Occupational Therapy Assistant | 2800 N Midland Dr, Midland, TX 79707-5536 | 2018-09-28 |
| 1619458734 | Jason Francis Laack | Occupational Therapy Assistant | 3000 Mockingbird, Midland, TX 79705-1608 | 2018-08-27 |
| 1700367786 | Dorothy M Gomez | Occupational Therapy Assistant | 801 S Loop 250 W, Midland, TX 79703-2134 | 2018-08-27 |
| Find all providers in MIDLAND | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.