CHYENNE BOLTON
NPI 1083387005
Recreation Therapist in Fort Worth, TX

Active since July 26, 2021
5417 TUXBURY POND DR, FORT WORTH, TX 76179(601) 307-2437 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Aug 12, 2025, Jul 26, 2021 (2 updates tracked since 2021).

About Chyenne Bolton NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHYENNE BOLTON (NPI 1083387005) is an individual recreation therapist in Fort Worth, Texas, licensed in Florida (64972) and active in the NPI registry since July 2021.

NPPES Registry Identity

NPI1083387005
Entity TypeIndividualFemale
Primary Taxonomy225800000X
Provider Legal NameCHYENNE BOLTON
Location Address5417 TUXBURY POND DRFort Worth, TX 76179-1490
Mailing Address5417 Tuxbury Pond DrFort Worth, TX 76179-1490 · (601) 307-2437
Sole ProprietorNo
Enumeration DateJuly 26, 2021
Last NPPES UpdateAugust 12, 20252 updates tracked since enumeration
NPPES CertifiedAugust 12, 2025
NPI 1083387005 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyRecreation TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225800000X
License Licensed in FL · 64972
Definition
A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient.
5417 TUXBURY POND DR, Fort Worth, TX 76179

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Recreation Therapist
5417 TUXBURY POND DR
FORT WORTH, TX 76179

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Chyenne Bolton's NPI number?

The NPI number for Chyenne Bolton is 1083387005. It was assigned to this individual provider in the NPPES registry on July 26, 2021.

Where is Chyenne Bolton located?

Chyenne Bolton practices at 5417 Tuxbury Pond Dr, Fort Worth, TX 76179. The listed phone number is (601) 307-2437.

What is Chyenne Bolton's specialty?

The primary specialty registered for this NPI is Recreation Therapist with taxonomy code 225800000X.

When was this NPI record last updated?

The NPPES record for Chyenne Bolton was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.