Individual provider Active NPI

Stacy Lynn Alberson, OTR L

  • Occupational Therapist
  • North Little Rock, AR
National Provider Identifier
1013966936
Registry record updated May 28, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1186 Issued in AR
Practice address
119 West H Ave
North Little Rock, AR 72116-8733
Phone
(501) 772-3211
Fax
(501) 771-7648
NPI assigned
May 8, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 28, 2008

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 OTR1186 AR Primary

Addresses

Primary practice location

119 West H Ave
North Little Rock, AR 72116-8733

Mailing address

119 West H Ave
North Little Rock, AR 72116-8733
Phone (501) 772-3211

Other identifiers 2

IdentifierTypeStateIssuer
137609721MedicaidAR
5U469OtherARKANSAS BLUE CROSS

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)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Alptp, PLLC Current Accepting new patients
H&FSTS Current Accepting new patients
Alptp, PLLC Current Accepting new patients

Locations

304 Sorenson St
North Little Rock, AR 72118
Phone (501) 246-5191

119 W H Ave
North Little Rock, AR 72116
Phone (501) 772-3224

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1147046400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1211932800000",
    "number": "1013966936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "119 WEST H AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168733",
            "telephone_number": "501-772-3211",
            "fax_number": "501-771-7648"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 WEST H AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168733",
            "telephone_number": "501-772-3211",
            "fax_number": "501-771-7648"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ALBERSON",
        "first_name": "STACY",
        "middle_name": "LYNN",
        "name_prefix": "Mrs.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-05-08",
        "last_updated": "2008-05-28",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1186",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "137609721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "5U469",
            "state": null
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2008; 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.