Holistic Community Therapy LLC
NPI 1073179776ActiveOrganization· Occupational Therapist, Mental Health· Portland, OR
Occupational Therapist, Mental Health in Portland, Oregon, registered in NPPES in May 2019. The authorized official on file is Elizabeth Martin, OTD, MHA, OTR/L, Clinical Director. Enrolled in Medicare as part b supplier - physical/occupational therapy group in private practice and part b supplier - physical/occupational therapy group in private practice.
Overview
| NPI | 1073179776 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | May 17, 2019 |
| Last updated in NPPES | Oct 28, 2026 |
| Certified by provider | Oct 28, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist, Mental Health Primary | 225XM0800X | — | — |
| Home Health | 251E00000X | — | — |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Enrolled Part B Supplier - Physical/Occupational Therapy Group in Private Practice (ID); Part B Supplier - Physical/Occupational Therapy Group in Private Practice (OR) |
|---|
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