Active NPI
Whitney Blair Joy, COTA/L
- Occupational Therapy Assistant
- West Memphis, AR
National Provider Identifier
1033452313
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- O-T1300
- 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, 2013
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 6094 | TN | MD | Clinical Social Worker |
| O-T1300 | AR | MD | Occupational Therapy Assistant |
| TA2767 | MS | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Aspire Therapies LLC | Current | Accepting new patients | |
| Therapeutic Alliance | Occupational Therapy Assistant | Past | Accepting new patients |
| Therapeutic Focus, L.L.C. | Occupational Therapy Assistant | Past | 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.
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Occupational Therapy Assistant
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Occupational Therapy Assistant
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.