Individual provider Active NPI

Whitney Blair Joy, COTA/L

  • Occupational Therapy Assistant
  • West Memphis, AR
National Provider Identifier
1033452313
Registry record updated Apr 4, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
O-T1300 Issued in AR
Practice address
610 N Missouri St
Ste 1
West Memphis, AR 72301-3148
Phone
(870) 400-0179
NPI assigned
Apr 4, 2013
Last updated
Apr 4, 2013By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2013

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 O-T1300 AR Primary
Occupational Therapy Assistant 224Z00000X TA2767 MS

Addresses

Primary practice location

610 N Missouri St
Ste 1
West Memphis, AR 72301-3148

Mailing address

525 Township CV
Collierville, TN 38017-3395
Phone (217) 313-8782

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20211222001280 TN Practitioner - Occupational Therapist in Private Practice 1456742709 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
6094TNMDClinical Social Worker
O-T1300ARMDOccupational Therapy Assistant
TA2767MSMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Aspire Therapies LLC CurrentSince Oct 1, 2021 Accepting new patients
Therapeutic Alliance Occupational Therapy Assistant Past Accepting new patients
Therapeutic Focus, L.L.C. Occupational Therapy Assistant PastSince Nov 6, 2013 Accepting new patients

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, 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": "1365033600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1365033600000",
    "number": "1033452313",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "525 TOWNSHIP CV",
            "city": "COLLIERVILLE",
            "state": "TN",
            "postal_code": "380173395",
            "telephone_number": "217-313-8782"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "610 N MISSOURI ST",
            "address_2": "STE 1",
            "city": "WEST MEMPHIS",
            "state": "AR",
            "postal_code": "723013148",
            "telephone_number": "870-400-0179"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "JOY",
        "first_name": "WHITNEY",
        "middle_name": "BLAIR",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-04-04",
        "last_updated": "2013-04-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "O-T1300",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MS",
            "license": "TA2767",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in West Memphis, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2013; 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.

Verify at the official NPI Registry.