Individual provider Active NPI

Candice Cayce, MOT, OTR/L

  • Occupational Therapist
  • El Dorado, AR
National Provider Identifier
1134473275
Registry record updated Mar 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3618 Issued in AR
Practice address
214 Hope Landing Rd
El Dorado, AR 71730-8725
Phone
(870) 862-0500
NPI assigned
Oct 27, 2012
Last updated
Mar 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 24, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR3618 AR Primary

Addresses

Primary practice location

214 Hope Landing Rd
El Dorado, AR 71730-8725

Mailing address

4203 Calhoun 19
Hampton, AR 71744-8621
Phone (870) 885-0194

Other practice location 1

525 Ouachita 210
Camden, AR 71701-9446
Phone (870) 885-0194

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220325000095 AR Practitioner - Occupational Therapist in Private Practice 2961897129

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR3618ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Precision One Therapy & Associates CurrentSince Mar 1, 2022 Accepting new patients
Hope Landing, Inc. PastSince Jan 21, 2022 Accepting new patients
Hope Landing, Inc. Occupational Therapy Assistant PastSince Jan 21, 2022 Accepting new patients

Locations

4450 Smackover Hwy
Smackover, AR 71762
Phone (870) 725-2497

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1351296000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1648080000000",
    "number": "1134473275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4203 CALHOUN 19",
            "city": "HAMPTON",
            "state": "AR",
            "postal_code": "717448621",
            "telephone_number": "870-885-0194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 HOPE LANDING RD",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717308725",
            "telephone_number": "870-862-0500"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "525 Ouachita 210",
            "address_purpose": "LOCATION",
            "city": "Camden",
            "state": "AR",
            "postal_code": "717019446",
            "country_code": "US",
            "telephone_number": "870-885-0194",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "CAYCE",
        "first_name": "CANDICE",
        "credential": "MOT, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2012-10-27",
        "last_updated": "2022-03-24",
        "certification_date": "2022-03-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3618",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in El Dorado, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 24, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.