Amanda Balentine-Depriest, MS, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2268 Issued in AR

Practice address

4801 Fairway Ave
North Little Rock, AR 72116

Phone

(501) 758-1300

NPI assigned

Oct 14, 2009

Last updated

Aug 20, 2018By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2009

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Central Arkansas Rehabilitation ExpertsGroup PAC ID 2163757097, 9 clinicians

Practice addresses (Care Compare)

Medicare enrollment (NPD)

Enrolled

Credentials

Master of Science

State licenses

Practice roles

Locations

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.

• Central Arkansas Rehabilitation Experts

  • Physical Therapist
  • Sherwood, AR
  • NPI 1033681473

  Occupational Therapist

  Medicare reassignment Care Compare group NPD
• Harris & Renshaw Rehab Center, Inc.

  • Physical Therapy Clinic/Center
  • North Little Rock, AR
  • NPI 1336478031

  Occupational Therapist

  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1255478400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1534723200000",
    "number": "1104151802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "411 HAYLEY CT",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721209681",
            "telephone_number": "870-307-7615"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4801 FAIRWAY AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "72116",
            "telephone_number": "501-758-1300"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3920 Woodland Heights Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722122495",
            "country_code": "US",
            "telephone_number": "501-227-3600",
            "fax_number": "501-227-3606",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BALENTINE-DEPRIEST",
        "first_name": "AMANDA",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2009-10-14",
        "last_updated": "2018-08-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Polly Fair Baker, RDH
• Shundrea L Baker
• Chelsea Baldwin
• Samantha Baldwin, PT, DPT
• April S Bale, LCSW
• Reed Balentine, LCSW
• Lauren Katherine Ballard
• Michael Charles Ballard, L.C.S.W.
• Rohitha Bandla
• Thomas Banh, MD

• Occupational Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.