IndividualActive
Lisa Kenney-Oleson
NPI 1962738658 · Occupational Therapy Assistant · Texarkana, TX
Provider details
- NPI number
- 1962738658
- Entity type
- Individual
- Primary specialty
- Occupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Sex
- Female
- Sole proprietor
- Yes
- License
- 210549 (TX)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(84/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
4100 Moores Ln
Texarkana, TX 75503-5102
Phone: (903) 223-1805
Street-level locationGet directions
Mailing address
5613 Deerwood Dr
Texarkana, AR 71854-8296
Registry dates
- Enumerated
- 2009-10-30
- Last updated
- 2009-10-30
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.