Individual provider Active NPI

Kaylee Marple

  • Occupational Therapy Assistant
  • Forrest City, AR
National Provider Identifier
1134510951
Registry record updated Feb 16, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT2015-016 Issued in AR
Practice address
726 North Washington St
Forrest City, AR 72335
Phone
(870) 768-5092
Fax
(870) 633-3304
NPI assigned
Feb 16, 2015
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 16, 2015

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 OT2015-016 AR Primary

Addresses

Primary practice location

726 North Washington St
Forrest City, AR 72335

Mailing address

PO Box 121
Aubrey, AR 72311-0121
Phone (870) 821-5292

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
OT2015-016ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Billingsley Therapy Services, LLC Past Accepting new patients

Organizations & group practices 1

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

NPI Registry JSON

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

{
    "created_epoch": "1424044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1424044800000",
    "number": "1134510951",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 121",
            "city": "AUBREY",
            "state": "AR",
            "postal_code": "723110121",
            "telephone_number": "870-821-5292",
            "fax_number": "870-633-3304"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "726 NORTH WASHINGTON ST",
            "city": "FORREST CITY",
            "state": "AR",
            "postal_code": "72335",
            "telephone_number": "870-768-5092",
            "fax_number": "870-633-3304"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MARPLE",
        "first_name": "KAYLEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-02-16",
        "last_updated": "2015-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT2015-016",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Forrest City, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2015; 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.