Linda B Eagle, OTRL

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

003704 Issued in MO

Practice address

101 Bogie Hills Dr
Columbia, MO 65201-2832

Phone

(573) 999-4925

Fax

(573) 443-2075

NPI assigned

Jan 22, 2007

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Other names 1

• Mrs. Linda T Boldan Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Hand to Hand Rehab, LLC

  • Pediatric Occupational Therapist
  • Columbia, MO
  • NPI 1376773804
  NPD (past) Authorized official

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169424000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1013061423",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 BOGIE HILLS DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652012832",
            "telephone_number": "573-999-4925",
            "fax_number": "573-443-2075"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 BOGIE HILLS DR",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652012832",
            "telephone_number": "573-999-4925",
            "fax_number": "573-443-2075"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EAGLE",
        "first_name": "LINDA",
        "middle_name": "B",
        "name_prefix": "Mrs.",
        "credential": "OTRL",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-22",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "003704",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "LINDA",
            "last_name": "BOLDAN",
            "middle_name": "T",
            "prefix": "MRS.",
            "credential": "OTRL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Peter Cummins Dyke II, M.D.
• Dynamic Lifeskills Inc
• Christopher B Dysart, C.R.N.A.
• Eric Allen Eades, RN
• Tyler Thomas Eads
• Sabrina Ealy
• Todd Robert Earhart, PA-C
• Joshua Earl, DO
• Marissa Claire Earles, RBT
• Bridget P. Early, M.D.

• Occupational Therapist in Columbia, MO
• Providers in Columbia, MO by specialty
• Occupational Therapist in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.