Organization Active NPI

Equinovate Therapy Services, Inc.

  • Occupational Therapy Assistant
  • Bauxite, AR
National Provider Identifier
1124758586
Registry record updated Jun 16, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
EQUINOVATE THERAPY SERVICES, INC.
Practice address
9288 Mars Hill Rd
Bauxite, AR 72011-8024
Phone
(502) 849-8644
NPI assigned
Jun 16, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 16, 2022

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

Authorized official

Name
Sara Hicks, COTA/L
Title
Therapist
Phone
(501) 849-8644

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193400000X SINGLE SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

9288 Mars Hill Rd
Bauxite, AR 72011-8024

Mailing address

9288 Mars Hill Rd
Bauxite, AR 72011-8024
Phone (501) 849-8644

Other identifiers 1

IdentifierTypeStateIssuer
1609217918MedicaidAR

Other names 1

  • Equinovate Therapy Services Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL equinovatetherapy@gmail.com

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1655337600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1655337600000",
    "number": "1124758586",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9288 MARS HILL RD",
            "city": "BAUXITE",
            "state": "AR",
            "postal_code": "720118024",
            "telephone_number": "501-849-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9288 MARS HILL RD",
            "city": "BAUXITE",
            "state": "AR",
            "postal_code": "720118024",
            "telephone_number": "502-849-8644"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EQUINOVATE THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-06-16",
        "last_updated": "2022-06-16",
        "certification_date": "2022-06-16",
        "status": "A",
        "authorized_official_last_name": "HICKS",
        "authorized_official_first_name": "SARA",
        "authorized_official_title_or_position": "THERAPIST",
        "authorized_official_telephone_number": "501-849-8644",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1609217918",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "equinovatetherapy@gmail.com",
            "affiliation": "N",
            "endpointDescription": "email address",
            "address_1": "9288 Mars Hill Rd",
            "city": "Bauxite",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720118024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "Equinovate Therapy Services",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Bauxite, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.