GREGORY DONALD HOLUBOK JR. (NPI# 1861749079) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1861749079 |
| Entity Type | Individual |
| Full Name | GREGORY DONALD HOLUBOK JR. |
| Credential | OTR/L |
| Practice Address |
430 5th St N Breckenridge MN 56520-1426 |
| Practice Telephone | 2186417725 |
| Practice Fax Number | 2186416625 |
| Mailing Telephone | 2186417725 |
| Mailing Fax Number | 2186416625 |
| Enumeration Date | 2012-08-07 |
| Last Update Date | 2012-08-07 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 104244 | MN | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
430 5TH ST N |
| City | BRECKENRIDGE |
| State | MN |
| Zip Code | 56520-1426 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1609829621 | Tera Deeann Paulson | Physical Therapist | 430 5th St N, Breckenridge, MN 56520-1426 | 2006-05-19 |
| 1295369122 | Kaylen Podjaski | Physical Therapist | 430 5th St N, Breckenridge, MN 56520-1426 | 2020-03-01 |
| 1528606258 | Kimberly Kay Ceroll | Physical Therapy Assistant | 430 5th St N, Breckenridge, MN 56520-1426 | 2019-12-12 |
| 1447737473 | Victoria Rose Wisnewski | Massage Therapist | 430 5th St N, Breckenridge, MN 56520-1426 | 2018-07-23 |
| 1063913259 | Gwen Humann | Physical Therapist | 430 5th St N, Breckenridge, MN 56520-1426 | 2018-02-23 |
| 1861917742 | Jacob Lonnie Erbes | Physical Medicine & Rehabilitation | 430 5th St N, Breckenridge, MN 56520-1426 | 2017-08-11 |
| 1942724372 | Tyler Donn Groth | Physical Therapist | 430 5th St N, Breckenridge, MN 56520-1426 | 2017-07-27 |
| 1194265280 | Janey Bulson | Specialist/Technologist | 430 5th St N, Breckenridge, MN 56520-1426 | 2017-03-08 |
| 1962950667 | Jenna Buckwalter | Physical Therapist | 430 5th St N, Breckenridge, MN 56520-1426 | 2016-09-12 |
| 1659827848 | Kelsey Sue Wienbar | Speech-Language Pathologist | 430 5th St N, Breckenridge, MN 56520-1426 | 2016-08-29 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
| 1063542371 | Jan E Ketterling | Psychologist | 2400 St Francis Drive, Hope Unit St Francis Medical Center, Breckenridge, MN 56520 | 2007-03-06 |
| 1174668081 | Timoth Y John Peterson | General Acute Care Hospital | St. Francis Healthcare Campus, 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-02-20 |
| 1699859942 | Gerald Dale Brudvik | Dentist | 430 Oak St., Breckenridge, MN 56520 | 2006-10-24 |
| 1881794642 | Pamela Jean Thompson | Social Worker | 415 1/2 Nebraska Ave., Breckenridge, MN 56520 | 2006-09-22 |
| 1588600928 | Robert C Eelkema | Emergency Medicine | 2400 St Francis Dr, Breckenridge, MN 56520 | 2006-06-22 |
| 1639162381 | St. Francis Medical Center | General Acute Care Hospital | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2005-08-29 |
| 1194158899 | Randi Jo Resler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2013-08-16 |
| 1912220229 | Community Addiction Recovery Enterprises | Clinic/Center | 3850 200th Ave, Breckenridge, MN 56520 | 2010-03-02 |
| 1154521516 | Laurie Jo Ann Kessler | Counselor | 2400 St. Francis Drive, Breckenridge, MN 56520 | 2007-07-23 |
| Find all providers in zip 56520 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1811428055 | Amy D Perchick | Occupational Therapist | 137 Gold King Way, Breckenridge, CO 80424-9989 | 2017-03-21 |
| 1376935080 | Alicia Witbrodt | Occupational Therapist | 5211 E Monroe Rd, Breckenridge, MI 48615-9575 | 2015-03-04 |
| 1952678526 | Amy D Heflin | Occupational Therapist | 579 American Way, Breckenridge, CO 80424 | 2011-11-25 |
| 1760710438 | Soni Hansen Garrett | Occupational Therapist | 213 S Ridge Street, Breckenridge, CO 80424-4944 | 2009-11-18 |
| 1831311349 | Carrie Marie Voightman | Occupational Therapist | 1110 Hwy 75, Suite A, Breckenridge, MN 56520 | 2007-05-03 |
| 1053472787 | Jill Annette Strandquist | Occupational Therapist | 0237 Goldenview Drive, Breckenridge, CO 80424 | 2006-12-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1871193326 | Shannon M Winn | Occupational Therapist | 529 Stine Dr, Carlton, MN 55718-9721 | 2020-10-26 |
| 1912504960 | Marissa Erin Rahlf | Occupational Therapist | 25834 710th St, Hayfield, MN 55940-8745 | 2020-10-02 |
| 1427662105 | Superior Therapy Solution LLC | Occupational Therapist | 1730 New St, Duluth, MN 55806-2114 | 2020-09-01 |
| 1083228753 | Rachel Anne Kramer | Occupational Therapist | 42808 County Road 11, Bird Island, MN 55310-3006 | 2020-09-01 |
| 1073123873 | Robert G Otos | Occupational Therapist | 8700 Virginia Cir N, Saint Louis Park, MN 55426-2455 | 2020-08-06 |
| 1164031787 | Melissa Cayetano Sanchez | Occupational Therapist | 6990 Wyndham Way, Woodbury, MN 55125-2761 | 2020-07-29 |
| 1275151896 | Integrative Therapies & Wellness | Occupational Therapist | 115 Willow St W Ste 4, Detroit Lakes, MN 56501-3922 | 2020-07-09 |
| 1760009153 | Traci Lynn Kruse | Occupational Therapist | 11437 Kenyon Ct Ne, Blaine, MN 55449-5483 | 2020-07-01 |
| 1376164244 | Madeline Rose Springer | Occupational Therapist | 19230 Larkspur Ave N, Marine On Saint Croix, MN 55047-9696 | 2020-05-02 |
| 1578182218 | Natalie Ryane Garfield | Occupational Therapist | 3025 Ottawa Ave S Apt 130, St Louis Park, MN 55416-2279 | 2020-04-13 |
| Find all providers with the same taxonomy | ||||
| City | BRECKENRIDGE |
| Zip Code | 56520 |
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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.