Nathan Andrew Bostrom, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

Tripler Army Medical Center
1 Jarrett White Rd
Honolulu, HI 96819

Phone

(774) 266-1489

NPI assigned

Aug 29, 2017

Last updated

Feb 18, 2025By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739836800000",
    "number": "1285151225",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "624 PAUKU ST",
            "city": "KAILUA",
            "state": "HI",
            "postal_code": "967343545",
            "telephone_number": "774-266-1489"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "TRIPLER ARMY MEDICAL CENTER",
            "address_2": "1 JARRETT WHITE RD",
            "city": "HONOLULU",
            "state": "HI",
            "postal_code": "96819",
            "telephone_number": "774-266-1489"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "118 Carolina Avenue",
            "address_purpose": "LOCATION",
            "city": "Moncks Corner",
            "state": "SC",
            "postal_code": "29461",
            "country_code": "US",
            "telephone_number": "774-266-1489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "9375 Conway Dr",
            "address_purpose": "LOCATION",
            "city": "Fort Benning",
            "state": "GA",
            "postal_code": "319055920",
            "country_code": "US",
            "telephone_number": "774-266-1489",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "15303 Sweet Pl",
            "address_purpose": "LOCATION",
            "city": "Charleston",
            "state": "SC",
            "postal_code": "294922833",
            "country_code": "US",
            "telephone_number": "774-266-1489",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BOSTROM",
        "first_name": "NATHAN",
        "middle_name": "ANDREW",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2017-08-29",
        "last_updated": "2025-02-18",
        "certification_date": "2025-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Occupational Therapist in Honolulu, HI
• Providers in Honolulu, HI by specialty
• Occupational Therapist in Hawaii

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 18, 2025; 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.