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

Jacob Holloway

Individual provider Occupational Therapist · NPI 1396610960

Jacob Holloway is an Occupational Therapist in Private Practice in Jacksonville, Arkansas. Qualified in 2025, 1 year ago. Practices with Harris and Renshaw Rehab Center Inc, a 20-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
1
Licensed in
AR
In the registry since
2025
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Practice location Address checks out

519 Marshall Rd
Jacksonville, AR 72076-3749
Phone: (501) 982-9511
Fax: (501) 982-9512
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OTR4129 (AR)

Record details

NPI number1396610960
Entity typeIndividual (Type 1)
GenderMale
Sole proprietorNo
NPI enumeratedOctober 6, 2025
Last updated in NPPESOctober 6, 2025
Certification dateOctober 6, 2025
Mailing address206 S Spring St, Sheridan, AR 72150-2568

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2025 (1 years in practice)
Group practice Harris And Renshaw Rehab Center Inc — 20 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

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