Active NPI
Elizabeth Allred Cottrell, MS, OTR L
- Pediatric Occupational Therapist
- Springdale, AR
National Provider Identifier
1053536474
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR 1151
- Practice address
- 403 W Maple Ave
Springdale, AR 72764-5333 - Phone
- (479) 750-6240
- Fax
- (479) 750-6627
- NPI assigned
- Apr 13, 2007
- Last updated
- Jul 8, 2007
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR 1151 | AR | Primary |
Addresses
Primary practice location
403 W Maple Ave
Springdale, AR 72764-5333
Mailing address
2762 E Birdie Dr
Fayetteville, AR 72703-6549
Phone (479) 443-0947
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5U619 | Other | AR | BCBS PROVIDER # |
Other names 1
- Mrs. Beth Ann Cottrell
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
- Credentials
- Master of Science
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR 1151 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Here 4 Kids | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
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- Maumelle, AR
- NPI 1407336944
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1176422400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1053536474",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2762 E BIRDIE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727036549",
"telephone_number": "479-443-0947"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "403 W MAPLE AVE",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645333",
"telephone_number": "479-750-6240",
"fax_number": "479-750-6627"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COTTRELL",
"first_name": "ELIZABETH",
"middle_name": "ALLRED",
"name_prefix": "Mrs.",
"credential": "MS, OTR L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-04-13",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR 1151",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS PROVIDER #",
"identifier": "5U619",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "BETH",
"last_name": "COTTRELL",
"middle_name": "ANN",
"prefix": "MRS.",
"credential": "MS, OTR L",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Springdale, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.