Jennavive Marie Holm, OTD
NPI 1124807201ActiveIndividual· Occupational Therapist· Grand Forks, ND
Occupational Therapist (OTD) with Sanford Medical Center Fargo, practicing in Grand Forks, North Dakota. Enrolled in Medicare as practitioner - occupational therapist in private practice.
Overview
| NPI | 1124807201 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OTD |
| Sole proprietor | Yes |
| NPI issued | Sep 27, 2023 |
| Last updated in NPPES | Mar 3, 2026 |
| Certified by provider | Mar 3, 2026 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapist Primary | 225X00000X | 2051 | ND |
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 Practitioner - Occupational Therapist in Private Practice (ND) |
|---|
Education and affiliations
| Graduation year | 2023 |
|---|---|
| Medicare specialty | Occupational Therapist In Private Practice |
Medical group
- Sanford Medical Center FargoWest Fargo, ND · 1,225 clinicians
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All 126 occupational therapists in Grand Forks · All occupational therapists in North Dakota