Individual provider Active NPI

Carmen Liliana Perez-Hernandez

  • Occupational Therapy Assistant
  • Little Rock, AR
National Provider Identifier
1124806971
Registry record updated Sep 21, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1958 Issued in AR
Practice address
5 Remington CV
Little Rock, AR 72204-8274
Phone
(501) 850-8788
Fax
(501) 850-8791
NPI assigned
Sep 21, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 21, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1958 AR Primary

Addresses

Primary practice location

5 Remington CV
Little Rock, AR 72204-8274

Mailing address

5 Remington CV
Little Rock, AR 72204-8274
Phone (501) 850-8788

Other practice location 1

3214 Winchester
Benton, AR 72015-2929
Phone (501) 794-6482

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

LicenseStateTypeSpecialty
OT-A1958ARMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1695254400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1695254400000",
    "number": "1124806971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5 REMINGTON CV",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048274",
            "telephone_number": "501-850-8788",
            "fax_number": "501-850-8791"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5 REMINGTON CV",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722048274",
            "telephone_number": "501-850-8788",
            "fax_number": "501-850-8791"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3214 Winchester",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "720152929",
            "country_code": "US",
            "telephone_number": "501-794-6482",
            "fax_number": "501-794-6483",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PEREZ-HERNANDEZ",
        "first_name": "CARMEN",
        "middle_name": "LILIANA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-09-21",
        "last_updated": "2023-09-21",
        "certification_date": "2023-09-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1958",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2023; 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.