Active NPI
Latitia Mahan Hankins, MSOTRL
- Occupational Therapist
- Cabot, AR
National Provider Identifier
1124333794
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2413
- Practice address
- 206 Plaza Blvd
Cabot, AR 72023-3750 - Phone
- (501) 286-7711
- NPI assigned
- Aug 8, 2010
- 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 | OTR2413 | AR | Primary |
Addresses
Primary practice location
206 Plaza Blvd
Cabot, AR 72023-3750
Mailing address
206 Plaza Blvd
Cabot, AR 72023-3750
Phone (501) 286-7711
Other practice location 1
10668 Lydia Ln
Danville, AR 72833-6890
Phone (479) 495-6326
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1124333794 | Medicaid | AR |
Other names 1
- Latitia Lynn Chamberlain
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 |
|---|---|---|---|
| OTR2413 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Building Blocks Pediatric Therapy, PA | 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.
-
- Multi-Specialty Clinic/Center
- Danville, AR
- NPI 1487850749
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1281225600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1521244800000",
"number": "1124333794",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "206 PLAZA BLVD",
"city": "CABOT",
"state": "AR",
"postal_code": "720233750",
"telephone_number": "501-286-7711",
"fax_number": "501-286-7711"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "206 PLAZA BLVD",
"city": "CABOT",
"state": "AR",
"postal_code": "720233750",
"telephone_number": "501-286-7711"
}
],
"practiceLocations": [
{
"address_1": "10668 Lydia Ln",
"address_purpose": "LOCATION",
"city": "Danville",
"state": "AR",
"postal_code": "728336890",
"country_code": "US",
"telephone_number": "479-495-6326",
"fax_number": "479-495-6336",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "HANKINS",
"first_name": "LATITIA",
"middle_name": "MAHAN",
"credential": "MSOTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2010-08-08",
"last_updated": "2018-03-17",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2413",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1124333794",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LATITIA",
"last_name": "CHAMBERLAIN",
"middle_name": "LYNN",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 17, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.