Individual provider Active NPI

Erica Leigh Ann Baugh, COTA/L

  • Occupational Therapy Assistant
  • Jonesboro, AR
National Provider Identifier
1023314267
Registry record updated Oct 17, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Practice address
661 County Road 754
Jonesboro, AR 72405-8256
Phone
(870) 373-0941
NPI assigned
Feb 6, 2011
Last updated
Oct 17, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 17, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OTA559 AR
Occupational Therapy Assistant 224Z00000X NU Primary

Addresses

Primary practice location

661 County Road 754
Jonesboro, AR 72405-8256

Mailing address

4313 Lochmoor Cir
Jonesboro, AR 72401-8146
Phone (870) 373-0941

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
OTA559ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Flight Pediatric Therapy, LLC Occupational Therapy Assistant CurrentSince Jun 30, 2024 Accepting new patients

Locations

8390 Highway 49 N
Brookland, AR 72417
Phone (870) 373-0941

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1296950400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1729123200000",
    "number": "1023314267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4313 LOCHMOOR CIR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724018146",
            "telephone_number": "870-373-0941"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "661 COUNTY ROAD 754",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724058256",
            "telephone_number": "870-373-0941"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BAUGH",
        "first_name": "ERICA",
        "middle_name": "LEIGH ANN",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-02-06",
        "last_updated": "2024-10-17",
        "certification_date": "2024-10-17",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OTA559",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 17, 2024; 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.