Individual provider Active NPI

Dominique Bostic-Arrington, OTR/L

  • Occupational Therapist
  • Gastonia, NC
National Provider Identifier
1164895785
Registry record updated Sep 21, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
10065 Issued in NC
Practice address
2675 Court Dr
Gastonia, NC 28054
Phone
(704) 824-7800
Fax
(704) 824-2822
NPI assigned
Nov 4, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 21, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT16741 FL
Occupational Therapist 225X00000X 10065 NC Primary

Addresses

Primary practice location

2675 Court Dr
Gastonia, NC 28054

Mailing address

11312 Kempsford Dr
Charlotte, NC 28262-2528
Phone (704) 562-2505

Other practice location 1

6721 Alanbrook Rd
Charlotte, NC 28215-9565
Phone (704) 562-2505

Other practice location 2

11312 Kempsford Dr
Charlotte, NC 28262-2528
Phone (704) 562-2505

Other practice location 3

11312 Kempsford Dr
Charlotte, NC 28262-2528
Phone (704) 562-2505

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

State licenses

LicenseStateTypeSpecialty
10065NCMDPharmacist
OT16741FLMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1446595200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1537488000000",
    "number": "1164895785",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11312 KEMPSFORD DR",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282622528",
            "telephone_number": "704-562-2505"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2675 COURT DR",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "28054",
            "telephone_number": "704-824-7800",
            "fax_number": "704-824-2822"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6721 Alanbrook Rd",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282159565",
            "country_code": "US",
            "telephone_number": "704-562-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11312 Kempsford Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622528",
            "country_code": "US",
            "telephone_number": "704-562-2505",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "11312 Kempsford Dr",
            "address_purpose": "LOCATION",
            "city": "Charlotte",
            "state": "NC",
            "postal_code": "282622528",
            "country_code": "US",
            "telephone_number": "704-562-2505",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTIC-ARRINGTON",
        "first_name": "DOMINIQUE",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-04",
        "last_updated": "2018-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "OT16741",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NC",
            "license": "10065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Gastonia, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2018; 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.