Active NPI
Miloe Elisabeth Peck, OTA
- Pediatric Occupational Therapist
- Hot Springs, AR
National Provider Identifier
1083947402
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- O-T0965
- Practice address
- 407 Carson St
Hot Springs, AR 71901-6852 - Phone
- (501) 624-6468
- NPI assigned
- Sep 16, 2009
- 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 | O-T0965 | AR | Primary |
Addresses
Primary practice location
407 Carson St
Hot Springs, AR 71901-6852
Mailing address
3402 Lilac Ter
Little Rock, AR 72202-1829
Phone (501) 813-7919
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
| License | State | Type | Specialty |
|---|---|---|---|
| O-T0965 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| First Step, Inc. | 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 and National Provider Directory roles.
-
- Developmentally Disabled Services Day Training Agency
- Hot Springs, AR
- NPI 1922157403
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1253059200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1389225600000",
"number": "1083947402",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 LILAC TER",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722021829",
"telephone_number": "501-813-7919"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "407 CARSON ST",
"city": "HOT SPRINGS",
"state": "AR",
"postal_code": "719016852",
"telephone_number": "501-624-6468"
}
],
"practiceLocations": [],
"basic": {
"last_name": "PECK",
"first_name": "MILOE",
"middle_name": "ELISABETH",
"name_prefix": "Mrs.",
"credential": "OTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2009-09-16",
"last_updated": "2014-01-09",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "O-T0965",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Hot Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 9, 2014; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.