Individual provider Active NPI

Christy Pierce, MOT, OTR/L

  • Pediatric Occupational Therapist
  • Bentonville, AR
National Provider Identifier
1760847222
Registry record updated Dec 10, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTR2687 Issued in AR
Practice address
1601 Greenhouse Rd
Bentonville, AR 72713-9292
Phone
(479) 795-1260
NPI assigned
Dec 28, 2015
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 10, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2011027723 MO
Pediatric Occupational Therapist 225XP0200X OTR2687 AR Primary

Addresses

Primary practice location

1601 Greenhouse Rd
Bentonville, AR 72713-9292

Mailing address

17 Stoneykirk Dr
Bella Vista, AR 72715-3608
Phone (417) 592-2293

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
2011027723MOMDOccupational Therapist
OTR2687ARMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Rewild the Child Nwa, LLC Pediatrics CurrentSince Dec 15, 2019 Accepting new patients
Imagine Occupational Therapy Services Occupational Therapist PastSince Dec 15, 2019 Accepting new patients
Post 0218, PLC PastSince Jul 28, 2024 Accepting new patients

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1451260800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1575936000000",
    "number": "1760847222",
    "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": "1601 GREENHOUSE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139292",
            "telephone_number": "479-795-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIERCE",
        "first_name": "CHRISTY",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-12-28",
        "last_updated": "2019-12-10",
        "certification_date": "2019-12-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2011027723",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR2687",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • 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.