Holistic Community Therapy LLC
NPI 1073179776 · Community/Behavioral Health Agency · Portland, OR
Enrolled with Medicare as Part B Supplier - Physical/Occupational Therapy Group in Private Practice · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holistic Community Therapy LLC is a Community/Behavioral Health Agency organization in Portland, OR (NPI 1073179776).
Provider details
- NPI number
- 1073179776
- Entity type
- Organization
- Primary specialty
- Community/Behavioral Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Elizabeth Martin, Occupational Therapist(720) 297-4572
Specialties & taxonomies
Agencies
- Home Health Agency251E00000X
Agencies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2019-05-17
- Last updated
- 2020-08-09
- Certified
- 2020-08-09
Frequently asked questions
- What is Holistic Community Therapy LLC's NPI number?
- Holistic Community Therapy LLC's National Provider Identifier (NPI) is 1073179776, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holistic Community Therapy LLC?
- Holistic Community Therapy LLC is classified in the NPPES registry as Community/Behavioral Health Agency (Agencies).
- Where is Holistic Community Therapy LLC located?
- Holistic Community Therapy LLC's practice location on file with NPPES is 4339 Ne 115th Ave, Portland, OR 97220-1409.
- What is Holistic Community Therapy LLC's phone number?
- The practice phone number listed in the NPPES registry for Holistic Community Therapy LLC is (720) 297-4572.
- Does Holistic Community Therapy LLC accept Medicare?
- Holistic Community Therapy LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Holistic Community Therapy LLC?
- The authorized official listed on Holistic Community Therapy LLC's NPPES record is Elizabeth Martin, Occupational Therapist. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holistic Community Therapy LLC's NPI active?
- Yes — Holistic Community Therapy LLC's NPI (1073179776) is active in the NPPES registry as of the last update on 2020-08-09.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.