Flordeliza Ople Bautista, OTR

Primary specialty

Neurorehabilitation Occupational TherapistTaxonomy code 225XN1300X

License

OTR1490 Issued in AR

Practice address

112 NW Yukon Trail St
Bentonville, AR 72712-5004

Phone

(479) 464-8990

Fax

(479) 271-7129

NPI assigned

Jun 13, 2007

Sex

Female

Sole proprietor

Yes

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)

Not enrolled

State licenses

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

{
    "created_epoch": "1181692800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1407050511",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "112 NW YUKON TRAIL ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125004",
            "telephone_number": "479-464-8990",
            "fax_number": "479-271-7129"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 NW YUKON TRAIL ST",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727125004",
            "telephone_number": "479-464-8990",
            "fax_number": "479-271-7129"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUTISTA",
        "first_name": "FLORDELIZA",
        "middle_name": "OPLE",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-06-13",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "AR",
            "license": "OTR1490",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Paula Barton, BS PHARMD JD
• Shweta S Basnyat
• Clarissa Basora
• Tyler Lloyd Bates
• Kailee Bauman, LCSW
• Hanna Kathryn Baxendale, APRN
• BC Health and Wellness LLC
• Justin Beagley, D.C.
• Katie Beal, MD
• Stephanie L Bean, LMSW

• Neurorehabilitation Occupational Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Neurorehabilitation Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; 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.