Cheyenne Tayler Bolenbaugh, CTRS
NPI 1952896672ActiveIndividual· Recreation Therapist· Jackson, MI
Recreation Therapist (CTRS) in Jackson, Michigan, licensed in MI, with an NPI issued in June 2018.
Overview
| NPI | 1952896672 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | CTRS |
| Sole proprietor | Yes |
| NPI issued | Jun 25, 2018 |
| Last updated in NPPES | Jun 25, 2018 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Recreation Therapist Primary | 225800000X | 80603 | MI |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|