NPI registry status
Active
2026 NPPES data Gerontology Occupational Therapist NPI 1134346380 OTR
Verify on CMS → Thomas Holmes, OTR
Gerontology Occupational Therapist in Tyler, Texas.
This profile is drawn from the federal National Provider Identifier Registry (CMS NPPES), which lists more than 7 million U.S. healthcare providers - including 939 in Gerontology Occupational Therapist, and covers specialty classification, practice address, and Medicare Part D prescribing data when reported. According to CMS, every field reflects the provider's official federal registration, see our methodology.
Federal data, no proprietary rating.
We show these CMS records as-is - no composite score, no star rating, no editorial opinion layered on top.
What the federal data shows
Thomas Holmes, OTR is a Gerontology Occupational Therapist in Tyler, Texas, listed in the federal CMS National Provider Identifier registry.
- #256
- Gerontology Occupational Therapist rank among Texas specialties
Every figure on this page comes straight from federal CMS records (NPPES, Medicare Part D, MIPS, Open Payments) - no proprietary rating or editorial opinion is applied.
Federal trust snapshot
What official records show about Thomas Holmes, OTR
Bare NPI registry listing — limited federal enrichment beyond basic enumeration. Verify all credentials with official sources.
- Verified
NPI registry status
Active listing in the CMS National Provider Identifier Registry (NPI 1134346380), first enumerated 04/19/2007.
Source: CMS NPPES
- Not in federal data
Medicare Part D participation
No 2023 Medicare Part D prescribing volume appears in the CMS public file for this NPI (may reflect specialty, new enrollment, or non-prescribing role).
Source: CMS Part D Prescriber PUF
- State context
State board disciplinary context
Texas statewide board action statistics are published annually — these figures describe aggregate state activity, not Thomas Holmes, OTR's individual license status. Verify directly with the state medical board.
Source: TMB annual report 2023
- Not in federal data
Individual sanction lookup
PlainDoctor does not publish per-provider disciplinary determinations. Confirm current license and any individual actions through the state medical board or FSMB verification service.
Source: State medical board / FSMB
This trust snapshot summarizes only what appears in federal CMS/NPPES public records. It is not a composite score, star rating, patient review, or clinical recommendation. PlainDoctor never fabricates reviews or AggregateRating schema.
CMS NPPES provider registry desk
NPI 1134346380 · Gerontology Occupational Therapist
NPI-10 · ENUM-MID · TAX-NARROW · RX-NONE · BOOK-THIN · PHOTO-ENUM
- NPI-10 1134346380
- ENUM-MID 2007
- TAX-NARROW 939
- RX-NONE No Part D
- BOOK-THIN 68 in Texas
- PHOTO-ENUM Sarah Hille, OTR/L · 2007
What does the federal data show about Thomas Holmes, OTR?
Quality data not reportedPrimary specialty
Gerontology Occupational Therapist
Specialty distribution in Texas
How Gerontology Occupational Therapist compares to other specialties among Texas providers
Board certification
Not published by CMS
CMS does not publish a per-provider board-certification field in NPPES. PlainDoctor does not have a reliable per-specialty certification rate to show for Gerontology Occupational Therapist. Verify directly:
How MIPS and board certification work
The Merit-based Incentive Payment System (MIPS) scores providers 0–100 across four performance categories: Quality, Cost, Promoting Interoperability, and Improvement Activities, weighted under 42 CFR §414.1380. Reporting is voluntary for many small practices, so absence of a MIPS score is not a quality signal.
Board certification through an ABMS or AOA member board signals voluntary post-licensure examination plus continuous Maintenance of Certification cycles. Verify any individual provider's status through certificationmatters.org (ABMS) or osteopathic.org (AOA).
Practice Address
Provider Details
| NPI | 1134346380 |
|---|---|
| Specialty | Gerontology Occupational Therapist |
| Credentials | OTR |
| Gender | Male |
| NPI Issued | 04/19/2007 |
License & disciplinary context - Texas TMB 2023 annual report
Aggregate state board data only, NOT a determination of any individual provider's status. The figures below describe statewide disciplinary activity across all ~77K Texas medical licensees in 2023 - they are NOT specific to Thomas Holmes, OTR. To verify Thomas Holmes, OTR's current license status, search the TMB public license lookup directly, or check the Federation of State Medical Boards (FSMB) verification service.
344
Total board actions, Texas 2023
Across 334 cases
4.47
Actions per 1,000 licensees
Texas statewide rate
probation
Most common action type
94 cases
TMB publishes annual disciplinary statistics as part of public-record reporting under each state's Administrative Procedure Act. See the full breakdown by action type and year on the Texas disciplinary trends page. Cross-checked against FSMB U.S. Medical Regulatory Trends.
Gerontology Occupational Therapist Overview
How Thomas Holmes, OTR fits within the Gerontology Occupational Therapist landscape nationally.
939
Gerontology Occupational Therapist Providers in US
51
States with Gerontology Occupational Therapist
3,771
Avg Claims per Provider
Nationwide Gerontology Occupational Therapist peers with similar MIPS or enrollment year
Two federal-record peer sets for Holmes, both outside Texas so the neighborhoods are not geographic containment.
Same NPPES enumeration year (2007)
Same-specialty clinicians who entered the NPI registry in the same calendar year, outside this state.
Nearby Gerontology Occupational Therapist Providers in Texas
Other clinicians with the same primary specialty enrolled in Texas, drawn from the same CMS NPPES roster as Holmes.
One of 68 Gerontology Occupational Therapist providers enrolled in Texas, 5 are shown here.
Angela Adams
OTR
Mesquite, TX
Michael Alvarez
Webster, TX
Mary Anderson
OTR
Spring, TX
Rony Andrews
OT
Houston, TX
Jessica Arias
OTR/L
Bryan, TX
Compare Gerontology Occupational Therapist nationally: see state-by-state distribution →
Frequently Asked Questions
What is Thomas Holmes, OTR's specialty? ▼
Thomas Holmes, OTR specializes in Gerontology Occupational Therapist and practices in Tyler, Texas. Credentials: OTR.
Where is Thomas Holmes, OTR located? ▼
Thomas Holmes, OTR is located at 2358 MIRABEAU DR, Tyler, TX, 75703. Phone: (903) 561-9676.
What is Thomas Holmes, OTR's NPI number? ▼
Thomas Holmes, OTR's National Provider Identifier (NPI) is 1134346380, issued on 04/19/2007.
How many Gerontology Occupational Therapist providers are there in the US? ▼
There are 939 Gerontology Occupational Therapist providers across 51 states in the US. The average Gerontology Occupational Therapist provider writes 3,771 Medicare Part D claims per year.
Does Thomas Holmes, OTR accept Medicare? ▼
Thomas Holmes, OTR appears in CMS Medicare data. Contact the provider's office directly to confirm current Medicare enrollment and accepted plans.
How can I verify Thomas Holmes, OTR's credentials? ▼
Thomas Holmes, OTR's NPI is 1134346380 with credentials OTR. You can verify this through the NPPES NPI Registry, check state medical board records, and confirm board certification through the ABMS or AOA.
Data Sources
View source datasets and methodology notes
- Provider Directory
- CMS National Plan and Provider Enumeration System (NPPES), download.cms.gov/nppes, updated monthly. Contains NPI, specialty, credentials, and practice location.
- Specialty Classification
- NUCC Health Care Provider Taxonomy (nucc.org), the industry standard for classifying provider specialties in Medicare and Medicaid billing.
- Limitations
- Provider data is self-reported to CMS. Prescribing data reflects Medicare Part D only and does not include commercial insurance, Medicaid, or cash prescriptions. Claims below 11 beneficiaries are suppressed by CMS for privacy.
See our complete data methodology for details on how we collect and process government data.
Data as of August 2026 (NPPES) / 2024 (Medicare Part D). Source: Centers for Medicare & Medicaid Services (CMS).
Disclaimer: Data from CMS NPPES and Medicare Part D. PlainDoctor does not rate or rank providers. Provider information is self-reported and may not be current. Always verify information directly with the provider. About · Methodology
Every figure on PlainDoctor is rendered directly from the federal CMS NPPES registry, Medicare Part D, MIPS, and Open Payments records, no number is typed in by an editor. See our editorial standards & corrections policy, the methodology behind these numbers, or report a data error. Data current as of August 2026.