Bethany Holcomb, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1142 Issued in AR

Practice address

1510 Byrum Rd
Blytheville, AR 72315-8033

Phone

(870) 336-0021

NPI assigned

Sep 27, 2016

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

Practice roles

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.

• Kidspot Jackson County Inc

  • Speech-Language Pathologist
  • Tuckerman, AR
  • NPI 1376256875
  NPD (past)
• Kidspot Jackson County Inc

  • Multi-Specialty Clinic/Center
  • Tuckerman, AR
  • NPI 1427833219
  NPD (past)
• Kidspot Plus

  • Speech-Language Pathologist
  • Blytheville, AR
  • NPI 1841761228
  NPD (past)

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

{
    "created_epoch": "1474934400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1696896000000",
    "number": "1548719974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "544 S 12TH AVE",
            "city": "PIGGOTT",
            "state": "AR",
            "postal_code": "724543252",
            "telephone_number": "870-336-0021"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1510 BYRUM RD",
            "city": "BLYTHEVILLE",
            "state": "AR",
            "postal_code": "723158033",
            "telephone_number": "870-336-0021"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOLCOMB",
        "first_name": "BETHANY",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-09-27",
        "last_updated": "2023-10-10",
        "certification_date": "2023-10-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1142",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hodge Dental, PLLC
• Chase Winston Hodge, DMD
• Gray Hodge, DMD
• Cryshana Hodges
• Josh Hodges, NP-C
• Bridget Holleman, AA MHPP
• Constance Hollis, RN
• Home Health Professionals, Inc.
• Home Health Professionals, Inc.
• Hope House Home Healthcare

• Occupational Therapy Assistant in Blytheville, AR
• Providers in Blytheville, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2023; 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.