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

Steven Joseph Holladay, OTRL

Individual provider Occupational Therapist · NPI 1154911949

Steven Joseph Holladay, OTRL is an Occupational Therapist in Private Practice in Maple Grove, Minnesota. Qualified in 2018, 8 years ago. Practices with Park Nicollet Clinic, a 1,773-clinician group and accepts Medicare assignment. Licensed in Minnesota.

Years since qualifying
8
Licensed in
MN
In the registry since
2021
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Practice location Address checks out

9630 Grove Cir N Ste 200
Maple Grove, MN 55369-3492
Phone: (763) 520-7870
Fax: (763) 520-7580
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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 105876 (MN)

Record details

NPI number1154911949
Entity typeIndividual (Type 1)
GenderMale
Credentials OTRL
Sole proprietorNo
NPI enumeratedJanuary 25, 2021
Last updated in NPPESJanuary 25, 2021
Certification dateJanuary 25, 2021
Mailing address9630 Grove Cir N Ste 200, Maple Grove, MN 55369-3492

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)
Group practice Park Nicollet Clinic — 1773 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount
Practice locations3 on file with Medicare

Other providers in Maple Grove