Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Colton Waters, DOT

Individual provider Occupational Therapist · NPI 1295560522

Colton Waters, DOT is an Occupational Therapist in Private Practice in Russellville, Arkansas. Qualified in 2024, 2 years ago. Practices with River Valley Therapy and Sports Medicine Inc, a 31-clinician group and accepts Medicare assignment. Licensed in Arkansas.

Years since qualifying
2
Licensed in
AR
In the registry since
2024

Practice location Address checks out

2100 W Main St
Russellville, AR 72801-2758
Phone: (479) 968-2525
Fax: (479) 968-2539
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence OT2024-016 (AR)

Record details

NPI number1295560522
Entity typeIndividual (Type 1)
GenderMale
Credentials DOT
Sole proprietorYes
NPI enumeratedSeptember 5, 2024
Last updated in NPPESSeptember 5, 2024
Certification dateSeptember 5, 2024

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2024 (2 years in practice)
Group practice River Valley Therapy And Sports Medicine Inc — 31 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Russellville