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

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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