Paul Morgan

Individual provider Active NPI Occupational Therapist · Calico Rock, AR

NPI 1043963671 · NPPES record last updated Feb 2, 2022

Key facts

NPI
1043963671
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR3394 (AR)
Practice address
3615 Norfork River Rd
Calico Rock, AR 72519-9564
Phone
(407) 222-2024
NPI assigned
Feb 2, 2022
Sex
Male
Sole proprietor
Yes

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 and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Enrolled in AR

Medicare enrollment records

Enrollment IDStateProvider typePAC IDDetails
I20220415000529 AR Practitioner - Occupational Therapist in Private Practice 3173919321 Reassigns benefits to 1 organization

National Provider Directory

Medicare enrollment (NPD)
Yes

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Speech Services, LLC Occupational Therapist Current
since Mar 9, 2022
Accepting new patients

Locations

75 Highway 62 412
Ste J
Ash Flat, AR 72513
Phone (870) 206-9430

400 S College St
Ste 3
Mountain Home, AR 72653
Phone (870) 404-0270

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR3394 AR Yes

Addresses

Primary practice location

3615 Norfork River Rd
Calico Rock, AR 72519-9564

Mailing address

3615 Norfork River Rd
Calico Rock, AR 72519-9564
Phone (407) 222-2024

Other providers in Calico Rock, AR

All providers in Calico Rock, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.