JACK HOLEVATZ OTR
NPI 1750935771
Occupational Therapist in Ashland, WI

Active since July 29, 2019
1635 MAPLE LN, ASHLAND, WI 54806(715) 685-5400(715) 685-5102 Get Directions Write a Review

NPPES record last updated: July 29, 2019. Verified against the NPPES registry weekly; last sync: October 18, 2026.

About Jack Holevatz Otr NPPES

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

JACK HOLEVATZ OTR (NPI 1750935771) is an individual occupational therapist in Ashland, Wisconsin, licensed in Wisconsin (6525-26) and active in the NPI registry since July 2019. He is a graduate of Other (2018).

NPPES Registry Identity

NPI1750935771
Entity TypeIndividualMale
Primary Taxonomy225X00000X
Provider Legal NameJACK HOLEVATZCredential: OTR
Location Address1635 MAPLE LNAshland, WI 54806-3610
Mailing Address1635 Maple LnAshland, WI 54806-3610
Fax(715) 685-5102
Sole ProprietorYes
Medical School CMSOtherGraduated 2018
Enumeration DateJuly 29, 2019
✔ NPI 1750935771 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 WI · 6525-26
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.
1635 MAPLE LN, Ashland, WI 54806

Accepted Insurance

Medicare Participation & PECOS CMS

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

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Jack Holevatz Otr is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7214410455
PECOS Enrollment IDI20260316001668

Medicare Billing Reassignment

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

Critical Access
1615 MAPLE LN
Ashland, WI 54806
  • Reassigned Medicare billing, Wisconsin enrollment
  • 175 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.

Social Worker (Clinical)
1635 MAPLE LN
ASHLAND, WI 54806
Counselor (Mental Health)
1635 MAPLE LN
ASHLAND, WI 54806
Social Worker (Clinical)
1635 MAPLE LN
ASHLAND, WI 54806
Counselor (Addiction (Substance Use Disorder))
1635 MAPLE LN
ASHLAND, WI 54806
Counselor (Addiction (Substance Use Disorder))
1635 MAPLE LN
ASHLAND, WI 54806
Counselor (Addiction (Substance Use Disorder))
1635 MAPLE LN
ASHLAND, WI 54806
Counselor (Addiction (Substance Use Disorder))
1635 MAPLE LN
ASHLAND, WI 54806
Social Worker (Clinical)
1635 MAPLE LN
ASHLAND, WI 54806

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 Jack Holevatz's NPI number?

The NPI number for Jack Holevatz is 1750935771. It was assigned to this individual provider in the NPPES registry on July 29, 2019.

Where is Jack Holevatz located?

Jack Holevatz practices at 1635 Maple Ln, Ashland, WI 54806. The listed phone number is (715) 685-5400.

What is Jack Holevatz's specialty?

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

Is Jack Holevatz enrolled in Medicare?

Yes. Jack Holevatz is registered in the Medicare PECOS enrollment system.

Which organization bills Medicare for Jack Holevatz's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Jack Holevatz reassigns Medicare benefits to Memorial Medical Center Inc (Ashland, WI). 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 Jack Holevatz's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

What insurance does Jack Holevatz accept?

Health plans from Security Health Plan list Jack Holevatz 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 Jack Holevatz was last updated on July 29, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 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.