=====================================================
General NPI Number Information
=====================================================
NPI Number | 1679428437
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | BOUNDLESS THERAPY SERVICES, LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 02/26/2026
-----------------------------------------------------
Last Update Date | 02/26/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 8 IRWIN CT NW
-----------------------------------------------------
City | ROME
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30165-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-266-5973
-----------------------------------------------------
Fax | 706-266-5973
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 8 IRWIN CT NW
-----------------------------------------------------
City | ROME
-----------------------------------------------------
State | GA
-----------------------------------------------------
Zip | 30165-2563
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 706-266-5973
-----------------------------------------------------
Fax | 706-266-5973
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER, OCCUPATIONAL THERAPIST
-----------------------------------------------------
Name | MELISSA SKINNER
-----------------------------------------------------
Credential | OTD, OTR/L
-----------------------------------------------------
Telephone | 706-266-5973
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 261Q00000X
-----------------------------------------------------
Taxonomy Name | Clinic/Center
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------