Individual provider Active NPI

Alix T Dycus, OT

  • Occupational Therapist
  • Benton, AR
National Provider Identifier
1184222093
Registry record updated Mar 20, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3405 Issued in AR
Practice address
3214 Winchester
Benton, AR 72015-2929
Phone
(501) 794-6482
Fax
(501) 794-6483
NPI assigned
Oct 13, 2020
Last updated
Mar 20, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Mar 20, 2026

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 OTR3405 AR Primary

Addresses

Primary practice location

3214 Winchester
Benton, AR 72015-2929

Mailing address

501 Spuds LN
Benton, AR 72019-9567
Phone (501) 258-1983

Other practice location 1

5 Remington Cv
Little Rock, AR 72204-8274
Phone (501) 850-8788

Other names 1

  • Mrs. Alix Taylor Dycus Professional name

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
OTR3405ARMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1602547200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1773964800000",
    "number": "1184222093",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "501 SPUDS LN",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720199567",
            "telephone_number": "501-258-1983"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3214 WINCHESTER",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720152929",
            "telephone_number": "501-794-6482",
            "fax_number": "501-794-6483"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5 Remington Cv",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722048274",
            "country_code": "US",
            "telephone_number": "501-850-8788",
            "fax_number": "501-850-8791",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DYCUS",
        "first_name": "ALIX",
        "middle_name": "T",
        "name_prefix": "Mrs.",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-13",
        "last_updated": "2026-03-20",
        "certification_date": "2026-03-20",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3405",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALIX",
            "last_name": "DYCUS",
            "middle_name": "TAYLOR",
            "prefix": "MRS.",
            "credential": "OTD, OTR/L",
            "code": "2",
            "type": "Professional Name"
        }
    ]
}

Other providers in Benton, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 20, 2026; 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.