Leah Carol Motzko, OTR

Individual provider Active NPI Occupational Therapist · Green Forest, AR

NPI 1154489995 · NPPES record last updated Apr 29, 2019

Key facts

NPI
1154489995
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapist 225X00000X
License
OTR973 (AR)
Practice address
909 W Main St
Green Forest, AR 72638-2316
Phone
(870) 480-9085
Fax
(870) 533-5533
NPI assigned
Dec 5, 2006
Sex
Female
Sole proprietor
Yes

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OTR973ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Ozarks Occupational Therapy Inc Occupational Therapist Current Accepting new patients

Locations

909 W Main St
Green Forest, AR 72638
Phone (870) 423-9246

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR973 AR Yes

Addresses

Primary practice location

909 W Main St
Green Forest, AR 72638-2316

Mailing address

1401 Vickie Cir
Berryville, AR 72616-5202
Phone (870) 480-9085

Other practice location 1

142 Greenwood Hollow Rd
Eureka Springs, AR 72632-8908
Phone (479) 253-8704

Other identifiers

IdentifierTypeStateIssuer
132384721MedicaidAR

Other providers in Green Forest, AR

All providers in Green Forest, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.