Healthcare Provider Details

I. General information

NPI: 1679428437
Provider Name (Legal Business Name): BOUNDLESS THERAPY SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/26/2026
Last Update Date: 03/16/2026
Certification Date: 03/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8 IRWIN CT NW
ROME GA
30165-2563
US

IV. Provider business mailing address

8 IRWIN CT NW
ROME GA
30165-2563
US

V. Phone/Fax

Practice location:
  • Phone: 706-266-5973
  • Fax: 706-266-5973
Mailing address:
  • Phone: 706-266-5973
  • Fax: 706-266-5973

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MELISSA SKINNER
Title or Position: OWNER, OCCUPATIONAL THERAPIST
Credential: OTD, OTR/L
Phone: 706-266-5973