Active NPI
Amy Flores
- Occupational Therapist
- Paragould, AR
National Provider Identifier
1013485929
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR3245
- Practice address
- 148 Linwood Dr
Paragould, AR 72450-4077 - Phone
- (870) 520-8761
- Fax
- (870) 573-8733
- NPI assigned
- Nov 8, 2018
- Last updated
- Nov 8, 2018
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3245 | AR | Primary |
Addresses
Primary practice location
148 Linwood Dr
Paragould, AR 72450-4077
Mailing address
3100 Cherrywood Dr
Jonesboro, AR 72404-7761
Phone (870) 243-1256
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20200511000856 | AR | Practitioner - Occupational Therapist in Private Practice | 3072944925 |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR3245 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1541635200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1541635200000",
"number": "1013485929",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3100 CHERRYWOOD DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724047761",
"telephone_number": "870-243-1256"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "148 LINWOOD DR",
"city": "PARAGOULD",
"state": "AR",
"postal_code": "724504077",
"telephone_number": "870-520-8761",
"fax_number": "870-573-8733"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FLORES",
"first_name": "AMY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2018-11-08",
"last_updated": "2018-11-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR3245",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Paragould, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 8, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.