Amy Flores
Individual provider Active NPI Occupational Therapist · Paragould, AR
NPI 1013485929 · NPPES record last updated Nov 8, 2018
Key facts
- NPI
- 1013485929
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR3245 (AR)
- Practice address
- 148 Linwood Dr
Paragould, AR 72450-4077 - Phone
- (870) 520-8761
- Fax
- (870) 573-8733
- NPI assigned
- Nov 8, 2018
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200511000856 | AR | Practitioner - Occupational Therapist in Private Practice | 3072944925 |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR3245 | AR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3245 | AR | Yes |
Addresses
Primary practice location
148 Linwood Dr
Paragould, AR 72450-4077
Mailing address
3100 Cherrywood Dr
Jonesboro, AR 72404-7761
Phone (870) 243-1256
Other providers in Paragould, AR
- William Fisher
- Brittany Fitzpatrick
- Billie Aaron Flake
- Tabetha Fleszar
- Allie Flippo
- Hannah Flowers
- Courtney N Floyd
- Jesica Nichole Floyd
- Followers of the Way
- Fonticiella Medical Clinic, Inc
All providers in Paragould, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Nov 8, 2018. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.