JACOB HOLLOWAY
NPI 1396610960
Occupational Therapist in Jacksonville, AR

Active since October 06, 2025Accepts Medicare Assignment
519 MARSHALL RD, JACKSONVILLE, AR 72076(501) 982-9511(501) 982-9512 Get Directions Write a Review

NPPES record last updated: October 6, 2025. Verified against the NPPES registry weekly; last sync: November 08, 2026.

About Jacob Holloway NPPES

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

JACOB HOLLOWAY (NPI 1396610960) is an individual occupational therapist in Jacksonville, Arkansas, licensed in Arkansas (OTR4129) and active in the NPI registry since October 2025. He is a graduate of Other (2025).

NPPES Registry Identity

NPI1396610960
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJACOB HOLLOWAY
Location Address519 MARSHALL RDJacksonville, AR 72076-3749
Mailing Address206 S Spring StSheridan, AR 72150-2568 · (501) 982-9511 · Fax (501) 982-9512
Fax(501) 982-9512
Sole ProprietorNo
Medical School CMSOtherGraduated 2025
Enumeration DateOctober 6, 2025
NPPES CertifiedOctober 6, 2025
✔ NPI 1396610960 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 AR · OTR4129
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.
519 MARSHALL RD, Jacksonville, AR 72076

Accepted Insurance

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

Jacob Holloway 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 ID9335630342
PECOS Enrollment IDI20251118002007

Medicare Billing Reassignment

Medicare enrollment records show Jacob Holloway reassigns Medicare billing to 1 organization. The organization bills Medicare for the services this provider delivers there.

Physical Therapy
4801 FAIRWAY AVE
North Little Rock, AR 72116
  • Reassigned Medicare billing, Arkansas enrollment
  • 24 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

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

Occupational Therapist
519 MARSHALL RD
JACKSONVILLE, AR 72076

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 Jacob Holloway's NPI number?

The NPI number for Jacob Holloway is 1396610960. It was assigned to this individual provider in the NPPES registry on October 6, 2025.

Where is Jacob Holloway located?

Jacob Holloway practices at 519 Marshall Rd, Jacksonville, AR 72076. The listed phone number is (501) 982-9511.

What is Jacob Holloway's specialty?

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

Is Jacob Holloway enrolled in Medicare?

Yes. Jacob 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.

Which organization bills Medicare for Jacob Holloway's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jacob Holloway reassigns Medicare benefits to Harris & Renshaw Rehab Center, Inc. (North Little Rock, AR). The 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 Jacob Holloway's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jacob Holloway accept?

Health plans from Ambetter Health, Ambetter from Arkansas Health & Wellness, Ambetter from Louisiana Healthcare Connections, Ambetter from Superior HealthPlan and Ambetter of Oklahoma and 1 other insurer list Jacob Holloway as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jacob Holloway was last updated on October 6, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.