UNBRIDLED HOLDINGS LLC (NPI# 1295361509) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1295361509 |
| Entity Type | Organization |
| Organization Name | UNBRIDLED HOLDINGS LLC |
| Practice Address |
9900 Price Coffee Rd Bentonville AR 72712 |
| Mailing Address |
Po Box 209 Avoca AR 72711 |
| Practice Telephone | 4792509838 |
| Practice Fax Number | 4792683473 |
| Mailing Telephone | 4792509838 |
| Mailing Fax Number | 4792683473 |
| Enumeration Date | 2020-03-18 |
| Last Update Date | 2020-03-18 |
| Authorized Official Name | TERRICA LINN WEATHERFORD (PRESIDENT) |
| Authorized Official Telephone | 5012405225 |
| Authorized Official Credential | MS, OTR/L |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225200000X | Physical Therapy Assistant | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 225XP0200X |
Occupational Therapist Specialization: Pediatrics |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
9900 PRICE COFFEE RD |
| City | BENTONVILLE |
| State | AR |
| Zip Code | 72712 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1427662345 | Bentonville Ambulatory Surgery Center, LLC | Pain Medicine | 2902 We Mid-cities Dr, Bentonville, AR 72712 | 2020-09-08 |
| 1942837059 | Amy Crumpton | Counselor | 3504 Se Riveria Road, Bentonville, AR 72712 | 2020-03-26 |
| 1649803552 | Hanna Kathryn Baxendale | Pediatrics | 2900 Medical Pkwy, Ste #370, Bentonville, AR 72712 | 2020-02-19 |
| 1740746635 | Meredith C Hodges | Counselor | 2508 Se 2oth St, Bentonville, AR 72712 | 2019-02-15 |
| 1609352566 | Tripharma Inc | Pharmacy | 3500 Sw Regional Airport Blvd Ste 2, Bentonville, AR 72712 | 2018-07-13 |
| 1811406747 | Upspring Therapy, LLC | Counselor | 2106 Sw Walton Blvd, Suite B, Bentonville, AR 72712 | 2017-09-22 |
| 1023536836 | Charlotte Yuvonne Hoyle | Case Manager/Care Coordinator | 2005 S.e Walton Blvd., Bentonville, AR 72712 | 2017-08-31 |
| 1508399502 | Rosanna Nicole Rephan | Nurse Practitioner | 3101 14th St, Mercy Convenient Care, Bentonville, AR 72712 | 2017-04-06 |
| 1417305517 | Charlotte Lennette Stephenson | Behavioral Analyst | 2005 S.e. Walton Blvd., Bentonville, AR 72712 | 2016-05-31 |
| 1740649920 | Patricia Ellen Sheppard | Nurse Practitioner | 3400 Se Macy, Bentonville, AR 72712 | 2016-02-17 |
| Find all providers in zip 72712 | ||||
| Taxonomy Code | 225XP0200X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| Specialization | Pediatrics |
| Occupational therapists provide services to infants, toddlers and children who have or who are at risk for developmental delays or disabilities. Occupational therapy is concerned with a child's ability to participate in daily life activities or "occupations." Occupational therapists use their unique expertise to help children with social-emotional, physical, cognitive, communication, and adaptive behavioral challenges and to help children to be prepared for and perform important learning and school-related activities and to fulfill their rule as students. Through an understanding of the impact of disability, illness, and impairment on a child's development, plan, ability to learn new skills, and overall occupational performance, occupational therapists design interventions that promote healthy development, establish needed skills, and/or modify environments, all in support of participation in daily activities. |
Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: new] Additional Resources: The American Occupational Therapy Association (AOTA) does offer voluntary board certification for a Pediatric Occupational Therapist if the applicant meets the following requirements:
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| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1487291415 | Rewild The Child Nwa, LLC | Occupational Therapist | 2003 Sw Regional Airport Blvd, Bentonville, AR 72713-7930 | 2019-12-10 |
| 1275178113 | Cathryn Elizabeth Hall | Occupational Therapist | 910 Nw 7th St Ste 2and4, Bentonville, AR 72712-4565 | 2019-11-14 |
| 1821515941 | Emily Ratcliff | Occupational Therapist | 910 Nw 7th St Ste 2&4, Bentonville, AR 72712-4565 | 2017-08-29 |
| 1770137200 | Jennifer Maclean | Occupational Therapist | 2713 Se I St Ste 5, Bentonville, AR 72712-0078 | 2019-08-01 |
| 1558924563 | Ashton Pratt | Occupational Therapist | 1601 Greenhouse Rd, Bentonville, AR 72713-9292 | 2019-04-16 |
| 1134435902 | Lauren Vavra | Occupational Therapist | 500 Tiger Blvd, Bentonville, AR 72712-4208 | 2010-08-31 |
| 1386966703 | Stephanie Carpenter | Occupational Therapist | 500 Tiger Blvd, Bentonville, AR 72712-4208 | 2010-02-26 |
| 1275718017 | Julie Williams | Occupational Therapist | 500 Tiger Blvd, Special Services Center, Bentonville, AR 72712-4208 | 2007-12-28 |
| 1811181688 | Kendra Gardner | Occupational Therapist | 500 Tiger Blvd, Bentonville, AR 72712-4208 | 2007-09-05 |
| 1679789523 | Kristie Pressler Phillips | Occupational Therapist | 1004 Se 5th St, Bentonville, AR 72712-4208 | 2007-05-15 |
| Find all providers in BENTONVILLE | ||||
| City | BENTONVILLE |
| Zip Code | 72712 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.