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

Individual provider Occupational Therapist · NPI 1124807201

Jennavive Marie Holm, OTD is an Occupational Therapist in Private Practice in Grand Forks, North Dakota. Qualified in 2023, 3 years ago. Practices with Sanford Medical Center Fargo, a 1,212-clinician group, works from 2 locations and accepts Medicare assignment. Licensed in North Dakota.

Years since qualifying
3
Licensed in
ND
In the registry since
2023
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

1375 S Columbia Rd
Grand Forks, ND 58201-4015
Phone: (701) 780-4919
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1750 47th Ave S, Grand Forks, ND 58201-7595 — (701) 757-8700

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 2051 (ND)

Record details

NPI number1124807201
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorYes
NPI enumeratedSeptember 27, 2023
Last updated in NPPESMarch 3, 2026
Certification dateMarch 3, 2026

Medicare enrollment

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

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2023 (3 years in practice)
Group practice Sanford Medical Center Fargo — 1212 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations2 on file with Medicare

Other providers in Grand Forks