Active NPI
Meghan Bretz, OTR/L
- Occupational Therapist
- Conway, AR
National Provider Identifier
1144598384
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2475
- Practice address
- 2465 Crestwood CT
Conway, AR 72032-2585 - Phone
- (501) 217-8600
- Fax
- (501) 217-8636
- NPI assigned
- Dec 2, 2011
- Last updated
- Dec 2, 2011
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR2475 | AR | Primary |
Addresses
Primary practice location
2465 Crestwood CT
Conway, AR 72032-2585
Mailing address
2465 Crestwood CT
Conway, AR 72032-2585
Phone (501) 217-8600
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 289725 | Other | NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC. | |
| OTR2475 | Other | AR | ARKANSAS STATE MEDICAL BOARD |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2475 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1322784000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1322784000000",
"number": "1144598384",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2465 CRESTWOOD CT",
"city": "CONWAY",
"state": "AR",
"postal_code": "720322585",
"telephone_number": "501-217-8600",
"fax_number": "501-217-8636"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2465 CRESTWOOD CT",
"city": "CONWAY",
"state": "AR",
"postal_code": "720322585",
"telephone_number": "501-217-8600",
"fax_number": "501-217-8636"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRETZ",
"first_name": "MEGHAN",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2011-12-02",
"last_updated": "2011-12-02",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2475",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "NATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.",
"identifier": "289725",
"state": null
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATE MEDICAL BOARD",
"identifier": "OTR2475",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.