Brad Thomas Westbrook
Individual provider Active NPI Occupational Therapist · Ward, AR
NPI 1093851982 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1093851982
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR1175 (AR)
- Practice address
- 1500 Wilson Loop
Ward, AR 72176 - Phone
- (501) 941-5630
- NPI assigned
- Jan 29, 2007
- Sex
- Male
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1175 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Allied Therapy and Consulting Services, PA | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR1175 | AR | Yes |
Addresses
Primary practice location
1500 Wilson Loop
Ward, AR 72176
Mailing address
105 Lorene St
Austin, AR 72007-9146
Phone (501) 941-5005
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5W794 | Other | AR | BLUE CROSS BLUE SHEILD |
Other providers in Ward, AR
- Kelly Truby
- Donna Vanhemert
- Tiffany Vaughan
- Kari Walden
- Misty Walthall
- Brooke White
- Kele Elizabeth Wilson
- Robert Scott Wilson
- Diana Lynn Woodiel
All providers in Ward, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 8, 2007. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.