Mary Lynn Bain

Individual provider Active NPI Occupational Therapist · Fort Smith, AR

NPI 1588625016 · NPPES record last updated Jul 13, 2026

Key facts

NPI
1588625016
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
1365 (AR)
Practice address
3304 S M St
Fort Smith, AR 72903-2903
Phone
(479) 785-4677
NPI assigned
Apr 2, 2006
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
1365ARMDSpeech-Language Pathologist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 1365 AR Yes

Addresses

Primary practice location

3304 S M St
Fort Smith, AR 72903-2903

Mailing address

701 E George Ave
Pocola, OK 74902-2304

Other identifiers

IdentifierTypeStateIssuer
5U270OtherARBCBS

Other providers in Fort Smith, AR

All providers in Fort Smith, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.