Individual provider Active NPI

Alexis Pinos

  • Occupational Therapy Assistant
  • Bella Vista, AR
National Provider Identifier
1053454785
Registry record updated Aug 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
1 Concordia Dr
Bella Vista, AR 72715-8401
Phone
(417) 669-3427
NPI assigned
Feb 14, 2007
Last updated
Aug 25, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X AR Primary

Addresses

Primary practice location

1 Concordia Dr
Bella Vista, AR 72715-8401

Mailing address

11 Elvanfoot LN
Bella Vista, AR 72715-5561
Phone (417) 669-3427

Other identifiers 1

IdentifierTypeStateIssuer
OT-A1631OtherARSTATE LICENSE

Other names 1

  • Alexis Dobbins Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

NPI Registry JSON

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

{
    "created_epoch": "1171411200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661385600000",
    "number": "1053454785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11 ELVANFOOT LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727155561",
            "telephone_number": "417-669-3427"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 CONCORDIA DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727158401",
            "telephone_number": "417-669-3427"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PINOS",
        "first_name": "ALEXIS",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-14",
        "last_updated": "2022-08-25",
        "certification_date": "2022-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE LICENSE",
            "identifier": "OT-A1631",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALEXIS",
            "last_name": "DOBBINS",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Bella Vista, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2022; 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.