Organization Active NPI

Isaacs Occupational Therapy, LLC

  • Pediatric Occupational Therapist
  • Ash Flat, AR
National Provider Identifier
1174079453
Registry record updated Aug 28, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTR524 Issued in AR
Legal business name
ISAACS OCCUPATIONAL THERAPY, LLC
Practice address
33 Court Rd
Ash Flat, AR 72513
Phone
(870) 710-0377
Fax
(870) 994-2372
NPI assigned
Aug 28, 2016
Last updated
Aug 28, 2016By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 28, 2016

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

Authorized official

Name
Mrs. Melanie Ann Isaacs, OTR/L
Title
Occupational Therapist
Phone
(870) 710-0377

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational Therapist 225XP0200X OTR524 AR Primary

Addresses

Primary practice location

33 Court Rd
Ash Flat, AR 72513

Mailing address

PO Box 115
Ash Flat, AR 72513-0115
Phone (870) 710-0377

Other identifiers 1

IdentifierTypeStateIssuer
119812721MedicaidAR

National Provider Directory

National Provider Directory

Locations

33 Court Rd
Ash Flat, AR 72513
Phone (870) 710-0377

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1472342400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1472342400000",
    "number": "1174079453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 115",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725130115",
            "telephone_number": "870-710-0377",
            "fax_number": "870-994-2372"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "33 COURT RD",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "72513",
            "telephone_number": "870-710-0377",
            "fax_number": "870-994-2372"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ISAACS OCCUPATIONAL THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-28",
        "last_updated": "2016-08-28",
        "status": "A",
        "authorized_official_last_name": "ISAACS",
        "authorized_official_first_name": "MELANIE",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "870-710-0377",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR524",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "119812721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Ash Flat, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 2016; 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.