MRS. HOLLY MARIE SANDHOLM (NPI# 1912150269) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1912150269 |
| Entity Type | Individual |
| Full Name | MRS. HOLLY MARIE SANDHOLM |
| Credential | OTR |
| Practice Address |
1315 Curt Dr Champaign IL 61821-1167 |
| Mailing Address |
3415 Waterville Ct Champaign IL 61822-7417 |
| Practice Telephone | 2173529334 |
| Practice Fax Number | 2173529324 |
| Mailing Telephone | 2178417230 |
| Enumeration Date | 2008-10-30 |
| Last Update Date | 2013-06-17 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 056006826 | IL | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
1315 CURT DR |
| City | CHAMPAIGN |
| State | IL |
| Zip Code | 61821-1167 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1053939017 | Kathleen Peters | Counselor | 1315 Curt Dr, Champaign, IL 61821-1167 | 2020-07-07 |
| 1639501851 | Shalini Saldeen | Physical Therapist | 1315 Curt Dr, Champaign, IL 61821-1167 | 2013-07-30 |
| 1598918849 | Nila N Blair | Occupational Therapy Assistant | 1315 Curt Dr, Champaign, IL 61821-1167 | 2008-10-30 |
| 1063665305 | Karen D Street | Physical Therapy Assistant | 1315 Curt Dr, Champaign, IL 61821-1167 | 2008-10-30 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326532888 | Cunningham Children's Home of Urbana Il | Residential Treatment Facility, Emotionally Disturbed Children | 1303 N. Cunningham Avenue, Urbana, IL 61821 | 2018-06-19 |
| 1184008708 | Seunghyun Jae | Dentist | 1905 W Springfield Ave, Champaign, IL 61821 | 2015-07-14 |
| 1457698169 | Mohamad Ata | Registered Nurse | 1802 S. Mattis, Champaign, IL 61821 | 2013-01-15 |
| 1609124338 | Lolitia Rosanna Newman | Social Worker | 1508 Powers Ln., Champaign, IL 61821 | 2012-08-28 |
| 1679850887 | Kirk Donald Gohsman | Counselor | 106 S. Country Fair Drive, Suite C, Champaign, IL 61821 | 2011-11-16 |
| 1598054777 | Delbert William Nelson Jr. | Psychiatry & Neurology | 2115 Galen Dr, Champaign, IL 61821 | 2011-03-28 |
| 1790946929 | Rdi Vein LLC | Clinic/Center | 2502 Galen Drive, Suite 101, Champaign, IL 61821 | 2008-06-20 |
| 1366620064 | Advanced Aesthetics Surgery & Laser Center, P.C. | Clinic/Center | 2111 West Park Ct., Champaign, IL 61821 | 2008-02-05 |
| 1033398482 | Huey's Home Medical, Inc | Durable Medical Equipment & Medical Supplies | 1207 S Mattis Ave Ste 1, Champaign, IL 61821 | 2007-11-01 |
| 1265630537 | Elizabeth Catherine Tingley | Psychologist | Department of Psychiatry and Psychology-carle Physician, 1802 S. Mattis, Champaign, IL 61821 | 2007-07-06 |
| Find all providers in zip 61821 | ||||
| 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 |
|---|---|---|---|---|
| 1487206348 | Chrislyn Oviawe | Occupational Therapist | 3401 Boulder Ridge Dr, Champaign, IL 61822-2061 | 2019-07-11 |
| 1740738202 | Dovison Kereri | Occupational Therapist | 3101 Amy Dr, Champaign, IL 61822-1801 | 2016-09-13 |
| 1457783243 | Nancy Jean Yeagle | Occupational Therapist | 404 W Healey St, Champaign, IL 61820-5021 | 2013-08-02 |
| 1104268606 | Terese Hendrickson | Occupational Therapist | 1917 Woodfield Rd, Champaign, IL 61822-9246 | 2013-07-24 |
| 1922321405 | Helen Hornbuckle | Occupational Therapist | 2810 Sangamon Dr, Champaign, IL 61821-4641 | 2010-03-11 |
| 1801002126 | Camille Marguerite Rose | Occupational Therapist | 4102 Belmont Point, Champaign, IL 61822 | 2007-05-15 |
| 1679530836 | Cathy L Borst | Occupational Therapist | 2300 S 1st St, Champaign, IL 61820-7661 | 2006-04-28 |
| 1144873860 | Melinda Zehner Borden | Occupational Therapist | 2501 Fields South Dr, Champaign, IL 61822-3733 | 2019-07-22 |
| 1306255591 | Daniel Low | Occupational Therapist | 309 E Springfield Ave, Champaign, IL 61820-5405 | 2014-08-13 |
| 1831521905 | Danielle Baltierra | Occupational Therapist | 1915 S Mattis Ave, Champaign, IL 61821-5919 | 2013-07-31 |
| Find all providers in CHAMPAIGN | ||||
Please comment or provide details below to improve the information on MRS. HOLLY MARIE SANDHOLM.
| 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.