Individual provider Active NPI

Leslie Dodd, OTR

  • Occupational Therapist
  • Jonesboro, AR
National Provider Identifier
1174650667
Registry record updated Jul 8, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR 1181 Issued in AR
Practice address
505 E Matthews Ave Ste 205
Jonesboro, AR 72401-3101
Phone
(870) 932-9567
NPI assigned
Feb 28, 2007
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2007

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 OTR 1181 AR Primary

Addresses

Primary practice location

505 E Matthews Ave Ste 205
Jonesboro, AR 72401-3101

Mailing address

2106 Trinity Oaks Dr
Jonesboro, AR 72401-3662

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20140602002146 AR Practitioner - Occupational Therapist in Private Practice 3678796166 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1996
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Tracy Jones Physical Therapy Services PAGroup PAC ID 2860547502, 5 clinicians

Practice addresses (Care Compare)

1107 E Matthews Ave
Suite 100
Jonesboro, AR 72401-4331
Phone (870) 933-6393

4210 S Caraway Rd
The Bungalows at Jonesboro
Jonesboro, AR 72404-6700
Phone (870) 974-9700

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR 1181ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Tracy Jones Physical Therapy Services, P.a. CurrentSince May 7, 2014 Accepting new patients
Denton Brothers, Inc. Occupational Therapist Past Accepting new patients

Locations

1107 E Matthews Ave
Ste 100
Jonesboro, AR 72401
Phone (870) 933-6393

Organizations & group practices 2

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": "1172620800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183852800000",
    "number": "1174650667",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 TRINITY OAKS DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013662"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "505 E MATTHEWS AVE STE 205",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724013101",
            "telephone_number": "870-932-9567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DODD",
        "first_name": "LESLIE",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-02-28",
        "last_updated": "2007-07-08",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR 1181",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.