MR. PAUL ALLEN BOLT (NPI# 1386783926) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1386783926 |
| Entity Type | Individual |
| Full Name | MR. PAUL ALLEN BOLT |
| Credential | OTR |
| Practice Address |
34 Dunn Ln Mountain Home AR 72653-8663 |
| Mailing Address |
2805 Mid Cities Dr Bentonville AR 72712-4270 |
| Practice Telephone | 8704255597 |
| Practice Fax Number | 8704255592 |
| Mailing Telephone | 8704041046 |
| Enumeration Date | 2007-02-06 |
| Last Update Date | 2017-01-14 |
| Gender Code | M |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR411 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 124621721 | 05 |
| Street Address |
34 DUNN LN |
| City | MOUNTAIN HOME |
| State | AR |
| Zip Code | 72653-8663 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1619513934 | Maranda Hickman | Physical Therapy Assistant | 347 Hwy 62 East College Plaza, Mountain Home, AR 72653 | 2019-11-21 |
| 1659929156 | Gale E Bacan | Technician | 1703 Monroe Ave, Mountain Home, AR 72653 | 2019-08-28 |
| 1891259321 | Kidspiration Pediatric Therapy Services | Clinic/Center | 710 Bradley Dr., Mountain Home, AR 72653 | 2019-01-29 |
| 1093279275 | Piper's Vision Xpress, LLC | Optometrist | 50 Paul Wood Lane, Mountian Home, AR 72653 | 2019-01-22 |
| 1346769155 | Heather Bollinger | Nurse Practitioner | 65 Walmart Drive, C/o Clinic At Walmart, Mountain Home, AR 72653 | 2017-09-12 |
| 1447774989 | Natalie D Ahrent | Physical Medicine & Rehabilitation | 804 Coley Dr, Mountain Home, AR 72653 | 2017-07-26 |
| 1417486028 | Andrew David Hatman | Case Manager/Care Coordinator | 1349 Hampshire Circle, Mountain Home, AR 72653 | 2017-06-07 |
| 1568848315 | Taylor Chiropractic Plc | Health Maintenance Organization | 103 S Main St Ste 5, Mountain Home, AR 72653 | 2015-08-04 |
| 1942606306 | Harps Food Stores, Inc | Pharmacy | 2089 Highway 62 West, Mountain Home, AR 72653 | 2014-11-13 |
| 1972920726 | Lavonne Armstrong | Counselor | 8 Medical Plaza, Mountain Home, AR 72653 | 2014-03-18 |
| Find all providers in zip 72653 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapists address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528462074 | Rebecca Hicks | Occupational Therapist | 313 Highway 201 N Ste 9, Mountain Home, AR 72653-3185 | 2014-10-13 |
| 1053712208 | Tara Maden | Occupational Therapist | Veterans Way & Lamont St, Mountain Home, TN 37684 | 2014-09-08 |
| 1164756482 | Darcie Renee Reed | Occupational Therapist | 100 E. 9th Street, Mountain Home, AR 72653 | 2009-09-21 |
| 1679700033 | Kristen Speak Booth | Occupational Therapist | 200 2ndstreet, Mountain Home, TN 37684 | 2009-06-12 |
| 1407053283 | Edington Enterprises Inc | Occupational Therapist | 504 Powers St, Mountain Home, AR 72653-2925 | 2007-06-27 |
| 1871705350 | Tasha Nicole Harris | Occupational Therapist | 58 N. Golden Eye Ct., Mountain Home, AR 72653-5320 | 2007-05-04 |
| 1649491069 | Gretchen Marie Foster | Occupational Therapist | 805 Buford Rd, Mountain Home, AR 72653-6301 | 2007-05-02 |
| 1174577191 | Paulette Susan Walton | Occupational Therapist | Physical Medicine & Rehab Occupational Therapy, Mountain Home, TN 37684 | 2006-05-22 |
| 1902861933 | Tammy N Wagner | Occupational Therapist | Pmrs 117, Mountain Home, TN 37684 | 2006-04-20 |
| 1003440603 | Heidi Vondebur | Occupational Therapist | 245 N 3rd E, Mountain Home, ID 83647-2734 | 2020-02-24 |
| Find all providers in MOUNTAIN HOME | ||||
| City | MOUNTAIN HOME |
| Zip Code | 72653 |
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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.