Individual provider Active NPI

Katrina Elizabeth Bomar, OTR

  • Pediatric Occupational Therapist
  • Searcy, AR
National Provider Identifier
1346396504
Registry record updated Dec 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTR1327 Issued in AR
Practice address
2302 Llama Dr
Searcy, AR 72143-4793
Phone
(501) 268-5001
Fax
(501) 268-5443
NPI assigned
Jan 28, 2007
Last updated
Dec 4, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 4, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTR1327 AR Primary

Addresses

Primary practice location

2302 Llama Dr
Searcy, AR 72143-4793

Mailing address

2302 Llama Dr
Searcy, AR 72143-4793
Phone (501) 268-5001

Other identifiers 2

IdentifierTypeStateIssuer
5T815OtherAROCCUPATIONAL THERAPIST
133279721MedicaidAR

Other names 1

  • Katrina Elizabeth Kurck Other 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

State licenses

LicenseStateTypeSpecialty
OTR1327ARMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Hands-on Therapy, Inc. Pediatrics CurrentSince Dec 15, 2024 Accepting new patients
Speech Solutions Inc PastSince Dec 8, 2024 Accepting new patients

Locations

2302 Llama Dr
Searcy, AR 72143
Phone (501) 268-5001

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1169942400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1733270400000",
    "number": "1346396504",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2302 LLAMA DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434793",
            "telephone_number": "501-268-5001",
            "fax_number": "501-268-5443"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2302 LLAMA DR",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721434793",
            "telephone_number": "501-268-5001",
            "fax_number": "501-268-5443"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOMAR",
        "first_name": "KATRINA",
        "middle_name": "ELIZABETH",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-01-28",
        "last_updated": "2024-12-04",
        "certification_date": "2024-12-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR1327",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPIST",
            "identifier": "5T815",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133279721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "KATRINA",
            "last_name": "KURCK",
            "middle_name": "ELIZABETH",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Searcy, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 4, 2024; 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.