JENNAVIVE MARIE HOLM OTD
NPI 1124807201
Occupational Therapist in Grand Forks, ND

Active since September 27, 2023Accepts Medicare Assignment
1375 S COLUMBIA RD, GRAND FORKS, ND 58201(701) 780-4919 Get Directions Write a Review

NPPES record last updated: March 3, 2026. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jennavive Marie Holm Otd NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

JENNAVIVE MARIE HOLM OTD (NPI 1124807201) is an individual occupational therapist in Grand Forks, North Dakota, licensed in North Dakota (2051) and active in the NPI registry since September 2023. She maintains a secondary practice location in Grand Forks and is a graduate of Other (2023).

NPPES Registry Identity

NPI1124807201
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJENNAVIVE MARIE HOLMCredential: OTD
Location Address1375 S COLUMBIA RDGrand Forks, ND 58201-4015
Mailing AddressPo Box 5074Sioux Falls, SD 57117-5074 · (701) 757-8700
Sole ProprietorYes
Medical School CMSOtherGraduated 2023
Enumeration DateSeptember 27, 2023
Last NPPES UpdateMarch 3, 2026
NPPES CertifiedMarch 3, 2026
NPI 1124807201 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in ND · 2051
Definition
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.
1375 S COLUMBIA RD, Grand Forks, ND 58201

Secondary Practice Location 1

Location 11750 47th Ave SGrand Forks, ND 58201-7595 · Phone (701) 757-8700

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, and ordering and referring status from the CMS PECOS system.

Medicare Enrollment Status

Enrolled in Medicare and accepts Medicare assignment

Jennavive Marie Holm Otd is registered in PECOS and agrees to accept the Medicare-approved amount as full payment. Medicare patients are not billed beyond the standard deductible and coinsurance.

PECOS PAC ID7911481064
PECOS Enrollment IDI20260317004144

Other Providers at the Same Location NPPES 19

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Physical Therapy Assistant
1375 S COLUMBIA RD
GRAND FORKS, ND 58201
Speech-Language Pathologist
1375 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapist
1375 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapist
1375 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapist
1375 S COLUMBIA RD
GRAND FORKS, ND 58201
Speech-Language Pathologist
1375 S COLUMBIA RD
GRAND FORKS, ND 58201
Occupational Therapist
1375 S COLUMBIA RD
GRAND FORKS, ND 58201
Physical Therapist
1375 S COLUMBIA RD
GRAND FORKS, ND 58201

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennavive Holm's NPI number?

The NPI number for Jennavive Holm is 1124807201. It was assigned to this individual provider in the NPPES registry on September 27, 2023.

Where is Jennavive Holm located?

Jennavive Holm practices at 1375 S Columbia Rd, Grand Forks, ND 58201. The listed phone number is (701) 780-4919.

What is Jennavive Holm's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

Is Jennavive Holm enrolled in Medicare?

Yes. Jennavive Holm is registered in the Medicare PECOS system and accepts Medicare assignment, which means accepting the Medicare-approved amount as payment in full for covered services.

When was this NPI record last updated?

The NPPES record for Jennavive Holm was last updated on March 3, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.