Rewild the Child Nwa, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

REWILD THE CHILD NWA, LLC

Practice address

2003 SW Regional Airport Blvd
Bentonville, AR 72713-7930

Phone

(479) 310-9107

NPI assigned

Dec 10, 2019

Organization subpart

No

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

Authorized official

Name

Christy Pierce, MOT, OTR/LNPI 1760847222

Title

Occupational Therapist

Phone

(417) 592-2293

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Christy Pierce, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Bentonville, AR
  • NPI 1760847222

  Pediatrics

  NPD Authorized official

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

{
    "created_epoch": "1575936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1575936000000",
    "number": "1487291415",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "17 STONEYKIRK DR",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727153608",
            "telephone_number": "417-592-2293"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2003 SW REGIONAL AIRPORT BLVD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727137930",
            "telephone_number": "479-310-9107"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "17 Stoneykirk Dr",
            "address_purpose": "LOCATION",
            "city": "Bella Vista",
            "state": "AR",
            "postal_code": "727153608",
            "country_code": "US",
            "telephone_number": "417-592-2293",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "REWILD THE CHILD NWA, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-10",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A",
        "authorized_official_last_name": "PIERCE",
        "authorized_official_first_name": "CHRISTY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "417-592-2293",
        "authorized_official_credential": "MOT, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Morgan Reyes, COTA
• Yander Reyes
• Karen Ann Reyna, SLP
• Ashley Jane Reynolds
• Emma Reynolds, PT

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 10, 2019; 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.