Madison Bloodworth, OT-R

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3315 Issued in AR

Practice address

707 N Cardinal Dr Ste 4
Mountain Home, AR 72653-3274

Phone

(870) 404-0270

Fax

(870) 701-3073

NPI assigned

Oct 19, 2023

Sex

Female

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

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2019

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

North Arkansas Speech Services LLCGroup PAC ID 9133545759, 7 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• North Arkansas Speech Services, LLC

  • Speech-Language Pathologist
  • Mountain Home, AR
  • NPI 1649880774

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1697673600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1697673600000",
    "number": "1346022779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2475",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726542475",
            "telephone_number": "870-404-0270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N CARDINAL DR STE 4",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533274",
            "telephone_number": "870-404-0270",
            "fax_number": "870-701-3073"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLOODWORTH",
        "first_name": "MADISON",
        "credential": "OT-R",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-10-19",
        "last_updated": "2023-10-19",
        "certification_date": "2023-10-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3315",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beth Ann Blackburn, MHPP
• Leisa Jean Blackwell
• Marc Daniel Blackwell
• Sarah Ellen Blagg, CCC-SLP
• Nathaniel C Blanton, APRN
• Wendy Blount, RN
• Bmnrc, Inc. (Hiram Shaddox Geriatric Center)
• Bob E Cogburn MD PA
• Bob Mathis DDS PA
• Jodi Nicole Bodenhamer, APRN

• Occupational Therapist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.