HOLLY LOUISE BALTHAZOR
NPI 1164149761
Occupational Therapy Assistant in Lomira, WI

Active since October 24, 2022
438 ASHFORD AVE, LOMIRA, WI 53048(920) 269-4386 Get Directions Write a Review

NPPES record last updated: October 24, 2022. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Holly Louise Balthazor NPPES

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

HOLLY LOUISE BALTHAZOR (NPI 1164149761) is an individual occupational therapy assistant in Lomira, Wisconsin, licensed in Wisconsin (796-27) and active in the NPI registry since October 2022.

NPPES Registry Identity

NPI1164149761
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameHOLLY LOUISE BALTHAZOR
Location Address438 ASHFORD AVELomira, WI 53048-9578
Mailing Address1048 Holly Tree LnFond Du Lac, WI 54935-8008 · (920) 960-1985
Sole ProprietorNo
Enumeration DateOctober 24, 2022
NPPES CertifiedOctober 24, 2022
NPI 1164149761 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in WI · 796-27
Definition

An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.

438 ASHFORD AVE, Lomira, WI 53048

Other Providers at the Same Location NPPES 2

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

Skilled Nursing Facility
438 ASHFORD AVE
LOMIRA, WI 53048
Occupational Therapist
438 ASHFORD AVE
LOMIRA, WI 53048

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 Holly Balthazor's NPI number?

The NPI number for Holly Balthazor is 1164149761. It was assigned to this individual provider in the NPPES registry on October 24, 2022.

Where is Holly Balthazor located?

Holly Balthazor practices at 438 Ashford Ave, Lomira, WI 53048. The listed phone number is (920) 269-4386.

What is Holly Balthazor's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Holly Balthazor was last updated on October 24, 2022. NPI Profile syncs with the weekly NPPES data releases published by CMS.