Alta Integrated Wellness

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

ALTA INTEGRATED WELLNESS

Practice address

1605 Canyon Maple CV
Benton, AR 72019-7040

Phone

(870) 917-9835

NPI assigned

May 27, 2025

Last updated

May 27, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kathleen Lenahan, OTR/LNPI 1710330220

Title

Owner/Provider

Phone

(870) 917-9835

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kathleen Lenahan, OTR/L

  • Occupational Therapist
  • Sheridan, AR
  • NPI 1710330220
  Medicare reassignment NPD Authorized official

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

{
    "created_epoch": "1748304000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1748304000000",
    "number": "1649063264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1605 CANYON MAPLE CV",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720197040",
            "telephone_number": "870-917-9835"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1605 CANYON MAPLE CV",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720197040",
            "telephone_number": "870-917-9835"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ALTA INTEGRATED WELLNESS",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-27",
        "last_updated": "2025-05-27",
        "certification_date": "2025-05-27",
        "status": "A",
        "authorized_official_last_name": "LENAHAN",
        "authorized_official_first_name": "KATHLEEN",
        "authorized_official_title_or_position": "OWNER/PROVIDER",
        "authorized_official_telephone_number": "870-917-9835",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Victoria Michelle Allen, BS, SLPA
• William Allen
• Alliant Behavioral Health LLC
• Jessica Allinson, CMP
• Paula Allinson, CMP
• Kara Amato
• Amayszn LLC
• Ambort Operations
• Victoria Ambort, LPC
• Rodolfo Ambriz, RECOVERY ASSISTANT

• Occupational Therapist in Benton, AR
• Providers in Benton, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.