Active NPI
Alexis Pinos
- Occupational Therapy Assistant
- Bella Vista, AR
National Provider Identifier
1053454785
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 1 Concordia Dr
Bella Vista, AR 72715-8401 - Phone
- (417) 669-3427
- NPI assigned
- Feb 14, 2007
- Last updated
- Aug 25, 2022
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OT-A1631 | Other | AR | STATE LICENSE |
Other names 1
- Alexis Dobbins
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
- Mitzi K Peronia, PT
- Jocelyn Peterson, LMFT, LPC
- Paul Wynn Peterson, LAMFT
- Michal Maranto Phillips, M.D.
- Carol Ann Piatkowski, APRN
- Albert Paul Price Jr., A.N.P.
- Deborah Pridemore, LPC, LMFT
- Amanda Pullen, M.S. CF-SLP
- QHG of Springdale Inc (Northwest Senior Health Center -- Bentonville)
- Kathy S. Raines, CD, ICCE
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.