Square One OT

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

SQUARE ONE OT

Practice address

1202 NE McClain Rd BLDG 7
Bentonville, AR 72712-3875

Phone

(573) 213-9467

NPI assigned

Nov 5, 2021

Last updated

Nov 5, 2021By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Katelyn Allen, OTDNPI 1376995209

Title

Owner

Phone

(573) 213-9467

Specialties & licenses 3

Addresses

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Katelyn Allen, OTD

  • Occupational Therapist
  • Bentonville, AR
  • NPI 1376995209
  NPD Authorized official

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

{
    "created_epoch": "1636070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1636070400000",
    "number": "1124783998",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "21 CHELSEA LN",
            "city": "BELLA VISTA",
            "state": "AR",
            "postal_code": "727156522",
            "telephone_number": "573-213-9467"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1202 NE MCCLAIN RD BLDG 7",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727123875",
            "telephone_number": "573-213-9467"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SQUARE ONE OT",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-05",
        "last_updated": "2021-11-05",
        "certification_date": "2021-11-05",
        "status": "A",
        "authorized_official_last_name": "ALLEN",
        "authorized_official_first_name": "KATELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "573-213-9467",
        "authorized_official_credential": "OTD"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Eric W Spradlin, LPC
• Ellen F Sprentall-Nankervis, BS, PHARMD
• Springdale Bentonville Surgery Center LP (Northwest Ambulatory Surgery Center - Bentonville)
• Springdale- Bentonville HBP Services, LLC
• Landry Spurlock
• Felicia Squires
• Cole T Staats
• Tammy Elaine Stallings, MD
• Carissa Stalnaker
• Abby Elizabeth Stanfill, LPC

• Pediatric Occupational Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 5, 2021; 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.