STEVEN JOSEPH HOLLADAY OTRL
NPI 1154911949
Occupational Therapist in Maple Grove, MN

Active since January 25, 2021Accepts Medicare Assignment
9630 GROVE CIR N STE 200, MAPLE GROVE, MN 55369(763) 520-7870(763) 520-7580 Get Directions Write a Review

NPPES record last updated: January 25, 2021. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Steven Joseph Holladay Otrl NPPES

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

STEVEN JOSEPH HOLLADAY OTRL (NPI 1154911949) is an individual occupational therapist in Maple Grove, Minnesota, licensed in Minnesota (105876) and active in the NPI registry since January 2021. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1154911949
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameSTEVEN JOSEPH HOLLADAYCredential: OTRL
Location Address9630 GROVE CIR N STE 200Maple Grove, MN 55369-3492
Mailing Address9630 Grove Cir N Ste 200Maple Grove, MN 55369-3492 · (763) 520-7870 · Fax (763) 520-7580
Fax(763) 520-7580
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateJanuary 25, 2021
NPPES CertifiedJanuary 25, 2021
✔ NPI 1154911949 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 MN · 105876
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.
9630 GROVE CIR N STE 200, Maple Grove, MN 55369

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare and accepts Medicare assignment

Steven Joseph Holladay Otrl 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 ID4183039308
PECOS Enrollment IDI20210222002660

Medicare Billing Reassignments

2

Medicare enrollment records show Steven Holladay reassigns Medicare billing to 2 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Family Medicine
7000 TARGET PKWY N
Brooklyn Park, MN 55445
  • Reassigned Medicare billing, Minnesota enrollment
  • 2,527 clinicians in this Medicare group
Orthopaedic Surgery
8100 NORTHLAND DR
Bloomington, MN 55431
  • Reassigned Medicare billing, Minnesota enrollment
  • 693 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

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

Orthopaedic Surgery
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Specialist/Technologist (Athletic Trainer)
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Dietitian, Registered
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physical Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Occupational Therapist
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369
Physician Assistant
9630 GROVE CIR N STE 200
MAPLE GROVE, MN 55369

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 Steven Holladay's NPI number?

The NPI number for Steven Holladay is 1154911949. It was assigned to this individual provider in the NPPES registry on January 25, 2021.

Where is Steven Holladay located?

Steven Holladay practices at 9630 Grove Cir N Ste 200, Maple Grove, MN 55369. The listed phone number is (763) 520-7870.

What is Steven Holladay's specialty?

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

Is Steven Holladay enrolled in Medicare?

Yes. Steven Holladay 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.

Which organizations bill Medicare for Steven Holladay's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Steven Holladay reassigns Medicare benefits to 2 organizations: Park Nicollet Clinic (Brooklyn Park, MN) and Tria Orthopaedic Center LLC (Bloomington, MN). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Steven Holladay's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Steven Holladay was last updated on January 25, 2021. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years 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.