Active NPI
Christy Pierce, MOT, OTR/L
- Pediatric Occupational Therapist
- Bentonville, AR
National Provider Identifier
1760847222
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR2687
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| License | State | Type | Specialty |
|---|---|---|---|
| 2011027723 | MO | MD | Occupational Therapist |
| OTR2687 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Rewild the Child Nwa, LLC | Pediatrics | Current | Accepting new patients |
| Imagine Occupational Therapy Services | Occupational Therapist | Past | Accepting new patients |
| Post 0218, PLC | Past | 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.
-
- Pediatric Occupational Therapist
- Bentonville, AR
- NPI 1487291415
Pediatrics
-
dba Imagine Pediatric Therapies
- Occupational Therapist
- Bentonville, AR
- NPI 1124241120
-
dba POST Pediatric Therapies
- Physical Therapy Clinic/Center
- Rogers, AR
- NPI 1679617427
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.