JADE ELISE HOLLOWAY OTD, OTR/L
NPI 1396019402
Occupational Therapist in Atlanta, GA

Active since March 07, 2012Accepts Medicare Assignment
140 DECATUR ST SE, ATLANTA, GA 30303(678) 833-6833(770) 517-5513 Get Directions Write a Review

NPPES record last updated: October 11, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jade Elise Holloway Otd, Otr/l NPPES

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

JADE ELISE HOLLOWAY OTD, OTR/L (NPI 1396019402) is an individual occupational therapist in Atlanta, Georgia, licensed in Georgia (OT005424) and active in the NPI registry since March 2012. She is a graduate of Washington University School Of Medicine (2011).

NPPES Registry Identity

NPI1396019402
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameJADE ELISE HOLLOWAYCredential: OTD, OTR/L
Location Address140 DECATUR ST SEAtlanta, GA 30303-3204
Mailing Address2734 Esquire WayTucker, GA 30084-2815 · (678) 833-6833
Fax(770) 517-5513
Sole ProprietorNo
Medical School CMSWashington University School Of MedicineGraduated 2011
Enumeration DateMarch 7, 2012
Last NPPES UpdateOctober 11, 2023
NPPES CertifiedOctober 11, 2023
NPI 1396019402 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 GA · OT005424
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.
140 DECATUR ST SE, Atlanta, GA 30303

Other Names 1

Former Name (1)Dr. Jade Elise Holloway

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

Jade Elise Holloway Otd, Otr/l 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 ID6507026473
PECOS Enrollment IDI20120330000114

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.

Student in an Organized Health Care Education/Training Program
140 DECATUR ST SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
140 DECATUR ST SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
140 DECATUR ST SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
140 DECATUR ST SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
140 DECATUR ST SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
140 DECATUR ST SE
ATLANTA, GA 30303
Student in an Organized Health Care Education/Training Program
140 DECATUR ST SE
ATLANTA, GA 30303
Psychologist (Clinical)
140 DECATUR ST SE, SUITE 1053
ATLANTA, GA 30303

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 Jade Holloway's NPI number?

The NPI number for Jade Holloway is 1396019402. It was assigned to this individual provider in the NPPES registry on March 7, 2012. The provider is also known as Dr. Jade Elise Holloway.

Where is Jade Holloway located?

Jade Holloway practices at 140 Decatur St SE, Atlanta, GA 30303. The listed phone number is (678) 833-6833.

What is Jade Holloway's specialty?

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

Is Jade Holloway enrolled in Medicare?

Yes. Jade Holloway 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 Jade Holloway was last updated on October 11, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 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.