Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Jack Holevatz, OTR

Individual provider Occupational Therapist · NPI 1750935771

Jack Holevatz, OTR is an Occupational Therapist in Private Practice in Ashland, Wisconsin. Qualified in 2018, 8 years ago. Practices as a sole proprietor. Licensed in Wisconsin.

Years since qualifying
8
Licensed in
WI
In the registry since
2019
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1635 Maple Ln
Ashland, WI 54806-3610
Phone: (715) 685-5400
Fax: (715) 685-5102
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 6525-26 (WI)

Record details

NPI number1750935771
Entity typeIndividual (Type 1)
GenderMale
Credentials OTR
Sole proprietorYes
NPI enumeratedJuly 29, 2019
Last updated in NPPESJuly 29, 2019
Mailing address1635 Maple Ln, Ashland, WI 54806-3610

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2018 (8 years in practice)
Accepts Medicare assignment Not indicated
Practice locations3 on file with Medicare

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