Individual provider Active NPI

Jessica Choate, COTA/L

  • Occupational Therapy Assistant
  • Pocahontas, AR
National Provider Identifier
1043981392
Registry record updated Sep 27, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT2021-034 Issued in AR
Practice address
42 Helter Rd
Pocahontas, AR 72455-1359
Phone
(870) 248-1448
Fax
(870) 248-1450
NPI assigned
Sep 27, 2021
Last updated
Sep 27, 2021By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 27, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT2021-034 AR Primary

Addresses

Primary practice location

42 Helter Rd
Pocahontas, AR 72455-1359

Mailing address

42 Helter Rd
Pocahontas, AR 72455-1359
Phone (870) 148-1448

Other identifiers 1

IdentifierTypeStateIssuer
OT2021-034OtherAROT LICENSE

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
OT2021-034ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Higginbotham Therapy Providers LLC CurrentSince Oct 5, 2021 Accepting new patients
Its Support Services LLC CurrentSince Jan 19, 2025 Accepting new patients

Locations

42 Helter Rd
Pocahontas, AR 72455
Phone (870) 248-1448

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, 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": "1632700800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1632700800000",
    "number": "1043981392",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "42 HELTER RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551359",
            "telephone_number": "870-148-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HELTER RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551359",
            "telephone_number": "870-248-1448",
            "fax_number": "870-248-1450"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHOATE",
        "first_name": "JESSICA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2021-09-27",
        "last_updated": "2021-09-27",
        "certification_date": "2021-09-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT2021-034",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OT LICENSE",
            "identifier": "OT2021-034",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Pocahontas, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 2021; 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.