Linda Elizabeth Bolt, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT002768 Issued in GA

Practice address

625 Clinton Way W
Martinez, GA 30907-4410

Phone

(706) 650-0806

NPI assigned

Apr 11, 2013

Last updated

Apr 11, 2013By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1365638400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365638400000",
    "number": "1770926495",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 CLINTON WAY W",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074410",
            "telephone_number": "706-650-0806"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 CLINTON WAY W",
            "city": "MARTINEZ",
            "state": "GA",
            "postal_code": "309074410",
            "telephone_number": "706-650-0806"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BOLT",
        "first_name": "LINDA",
        "middle_name": "ELIZABETH",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-04-11",
        "last_updated": "2013-04-11",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "GA",
            "license": "OT002768",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "SC",
            "license": "3809",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Blessed Hands Wellness Spa LLC
• Melissa Blue
• Cameo Blundstone
• Westin Bobadilla
• Edward H Boland, MD
• Zaniya Bond
• Kimberly Dawn Booker
• Elizabeth Boswell
• Jason Michael Bouvier, CPHT
• Jennifer Bowen, MS

• Occupational Therapist in Martinez, GA
• Providers in Martinez, GA by specialty
• Occupational Therapist in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 11, 2013; 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.