Bambi Ashanti Levingston, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

111668 Issued in TX

Practice address

1315 Walnut St
Texarkana, TX 75501-4446

Phone

(903) 794-2705

Fax

(903) 793-1203

NPI assigned

Jan 4, 2008

Last updated

May 23, 2008By the provider in NPPES

Sex

Female

Sole proprietor

No

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Temple Memorial Pediatric Center Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Texarkana, TX
  • NPI 1972654663
  NPD (past)

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211500800000",
    "number": "1699950055",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014446",
            "telephone_number": "903-794-2705",
            "fax_number": "903-793-1203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1315 WALNUT ST",
            "city": "TEXARKANA",
            "state": "TX",
            "postal_code": "755014446",
            "telephone_number": "903-794-2705",
            "fax_number": "903-793-1203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVINGSTON",
        "first_name": "BAMBI",
        "middle_name": "ASHANTI",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "TX",
            "license": "111668",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• David Kumba Lefors, CPO
• Zachary T Legan, DDS, MD
• Andrew Ellis Legrand, DO
• Stacy L Leonard, MD
• Emily Lester
• Lewis C Cook MD PA
• Olivia Lewis
• Rebecca G Lewis, FNP
• Tami Lewis, LPC
• Jessie Liang, MD

• Occupational Therapist in Texarkana, TX
• Providers in Texarkana, TX by specialty
• Occupational Therapist in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2008; 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.