Active NPI
Equinovate Therapy Services, Inc.
- Occupational Therapy Assistant
- Bauxite, AR
National Provider Identifier
1124758586
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1609217918 | Medicaid | AR |
Other names 1
- Equinovate Therapy Services
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| Other URL | equinovatetherapy@gmail.com |
National Provider Directory
National Provider DirectoryPractitioners & 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.