Benjamin Klaus Ammons
Individual provider Active NPI Occupational Therapy Assistant · Fort Smith, AR
NPI 1124894852 · NPPES record last updated Dec 4, 2023
Key facts
- NPI
- 1124894852
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OT-A971 (AR)
- Practice address
- 2801 Old Greenwood Rd Ste 14
Fort Smith, AR 72903-4560 - Phone
- (479) 222-1425
- NPI assigned
- Dec 4, 2023
- Sex
- Male
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A971 | AR | MD | Occupational Therapy Assistant |
| OTA971 | AR | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Occupational Therapy Assistant | 224Z00000X | OTA971 | AR | |
| Occupational Therapy Assistant | 224Z00000X | OT-A971 | AR | Yes |
Addresses
Primary practice location
2801 Old Greenwood Rd Ste 14
Fort Smith, AR 72903-4560
Mailing address
5003 Highway 282
Rudy, AR 72952-9016
Phone (479) 231-6145
Other providers in Fort Smith, AR
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- Jean Bernard Amargos Zayas
- Dena Amerine Harris
- Amir Amidi
- Courtney Lorene Amos
- Amy L Plunkett DNP Apn PLLC
- Amyco Inc
- Amyco, Inc
- Dev Anand
All providers in Fort Smith, AR · Occupational Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Dec 4, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.