Individual provider Active NPI

Chelsea Morehead, OTR/L

  • Occupational Therapist
  • Fayetteville, AR
National Provider Identifier
1003358789
Registry record updated Nov 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR2998 Issued in AR
Practice address
474 N Coral Canyon Loop Apt 417
Fayetteville, AR 72704-6283
Phone
(501) 454-6588
NPI assigned
Nov 10, 2016
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Nov 10, 2016

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR2998 AR Primary

Addresses

Primary practice location

474 N Coral Canyon Loop Apt 417
Fayetteville, AR 72704-6283

Mailing address

474 N Coral Canyon Loop Apt 417
Fayetteville, AR 72704-6283
Phone (501) 454-6588

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OTR2998ARMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1478736000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1478736000000",
    "number": "1003358789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "474 N CORAL CANYON LOOP APT 417",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046283",
            "telephone_number": "501-454-6588"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "474 N CORAL CANYON LOOP APT 417",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046283",
            "telephone_number": "501-454-6588"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOREHEAD",
        "first_name": "CHELSEA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2016-11-10",
        "last_updated": "2016-11-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2998",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.