Active NPI
Molly McGehee
- Occupational Therapist
- Bentonville, AR
National Provider Identifier
1104300466
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2703 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3414 - Phone
- (479) 339-9678
- Fax
- (317) 520-8200
- NPI assigned
- Sep 21, 2018
- Last updated
- Oct 21, 2024
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | AR | Primary |
Addresses
Primary practice location
2703 SE Otis Corley Dr Ste 11
Bentonville, AR 72712-3414
Mailing address
2713 SE I St Ste 5
Bentonville, AR 72712-0078
Phone (479) 250-4355
Other practice location 1
2713 SE I St Ste 5
Bentonville, AR 72712-0078
Phone (479) 250-4355
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1537488000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1729468800000",
"number": "1104300466",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2713 SE I ST STE 5",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727120078",
"telephone_number": "479-250-4355",
"fax_number": "479-553-7954"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2703 SE OTIS CORLEY DR STE 11",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727123414",
"telephone_number": "479-339-9678",
"fax_number": "317-520-8200"
}
],
"practiceLocations": [
{
"address_1": "2713 SE I St Ste 5",
"address_purpose": "LOCATION",
"city": "Bentonville",
"state": "AR",
"postal_code": "727120078",
"country_code": "US",
"telephone_number": "479-250-4355",
"fax_number": "479-250-4355",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MCGEHEE",
"first_name": "MOLLY",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2018-09-21",
"last_updated": "2024-10-21",
"certification_date": "2024-10-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.