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

Jordan Boboltz, OTR, ATP

Individual provider Other Technician · NPI 1477288314

Jordan Boboltz, OTR, ATP is an Other Technician in Dallas, Texas. Registered with an NPI since 2022.

In the registry since
2022
What do these letters mean?
OTR — Occupational Therapist, Registered
A nationally registered occupational therapist.

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Practice location Address checks out

1221 Profit Dr
Dallas, TX 75247-3919
Phone: (469) 404-1113
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Other Technician (primary) Taxonomy 247200000X

Record details

NPI number1477288314
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTR , ATP
Sole proprietorNo
NPI enumeratedJuly 22, 2022
Last updated in NPPESJuly 22, 2022
Certification dateJuly 22, 2022

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