B-Complete Therapeutics

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Legal business name

B-COMPLETE THERAPEUTICS

Practice address

3973 NW Bailey Grade Rd
Greenville, FL 32331-4502

Phone

(185) 025-3594

NPI assigned

Jan 3, 2020

Last updated

Feb 26, 2020By 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

Angie L Bolden, OTNPI 1699153080

Title

Owner

Phone

(850) 253-5949

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 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.

• Angie Bolden

  • Occupational Therapist
  • Greenville, FL
  • NPI 1699153080
  NPD Authorized official

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

{
    "created_epoch": "1578009600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1582675200000",
    "number": "1831738186",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3973 NW BAILEY GRADE RD",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "323314502",
            "telephone_number": "185-025-3594"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3973 NW BAILEY GRADE RD",
            "city": "GREENVILLE",
            "state": "FL",
            "postal_code": "323314502",
            "telephone_number": "185-025-3594"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "B-COMPLETE THERAPEUTICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-01-03",
        "last_updated": "2020-02-26",
        "certification_date": "2020-02-26",
        "status": "A",
        "authorized_official_last_name": "BOLDEN",
        "authorized_official_first_name": "ANGIE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-253-5949",
        "authorized_official_credential": "OT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "024395400",
            "state": "FL"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "laptop",
            "affiliation": "N",
            "address_1": "3973 NW Bailey Grade Rd",
            "city": "Greenville",
            "state": "FL",
            "country_code": "US",
            "postal_code": "323314502",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• 13455 Golden LLC (Crosswinds Health and Rehabilitation Center)
• 13455 Management LLC (crosswinds health and rehabilitation center)
• Sheryl L Adams, PH.D.
• Ka'Miyah K Alexander
• Anchoring Hands and Hearts Healthcare LLC
• Joy Elizabeth Bennink, LMHC, CAP, ATR
• Robert J Bezick Jr., RPH
• Angie Bolden
• Melissa Bolen, LMFT
• Eleice Braswell, LMT

• Occupational Therapist in Greenville, FL
• Providers in Greenville, FL by specialty
• Occupational Therapist in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 26, 2020; 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.