Individual provider Active NPI

Angela Culver, OTR

  • Occupational Therapist
  • Jonesboro, AR
National Provider Identifier
1033246913
Registry record updated Mar 29, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT 1969 Issued in AR
Practice address
1218 Stone St Ste 140
Jonesboro, AR 72401-4568
Phone
(870) 336-0220
Fax
(870) 558-5637
NPI assigned
Feb 27, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 29, 2023

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 OT 1969 AR Primary

Addresses

Primary practice location

1218 Stone St Ste 140
Jonesboro, AR 72401-4568

Mailing address

1218 Stone St Ste 140
Jonesboro, AR 72401-4568
Phone (870) 530-3100

Other identifiers 1

IdentifierTypeStateIssuer
157165721MedicaidAR

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20100709000656 AR Practitioner - Occupational Therapist in Private Practice 7719019751 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2002
Medicare assignment
Accepts the Medicare-approved amount as payment in full

Practice addresses (Care Compare)

1218 Stone St
Suite 140
Jonesboro, AR 72401-4568
Phone (870) 336-0220

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OT 1969ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Leap Therapy Solutions, LLC Occupational Therapist CurrentSince Oct 1, 2022 Accepting new patients
Kids Play Therapy LLC CurrentSince Oct 5, 2022 Accepting new patients

Locations

1218 Stone St
Ste 140
Jonesboro, AR 72401
Phone (870) 336-0220

Organizations & group practices 2

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": "1172534400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1680048000000",
    "number": "1033246913",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1218 STONE ST STE 140",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014568",
            "telephone_number": "870-530-3100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1218 STONE ST STE 140",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014568",
            "telephone_number": "870-336-0220",
            "fax_number": "870-558-5637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CULVER",
        "first_name": "ANGELA",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-27",
        "last_updated": "2023-03-29",
        "certification_date": "2023-03-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OT 1969",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "157165721",
            "state": "AR"
        }
    ],
    "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 Mar 29, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.