Individual provider Active NPI

Laura Kimberly Gaskins, OTA

  • Occupational Therapy Assistant
  • Horseshoe Bend, AR
National Provider Identifier
1184880098
Registry record updated Mar 3, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
O-T0814 Issued in AR
Practice address
703 Birdie Dr
Horseshoe Bend, AR 72512-2864
Phone
(870) 291-1290
NPI assigned
Jul 30, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Mar 3, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X O-T0814 AR Primary

Addresses

Primary practice location

703 Birdie Dr
Horseshoe Bend, AR 72512-2864

Mailing address

138 Sara Cir
Ash Flat, AR 72513-9551
Phone (870) 291-1290

Other practice location 1

138 Sara Cir
Ash Flat, AR 72513-9551
Phone (870) 291-1290

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
O-T0814ARMDOccupational Therapy Assistant

NPI Registry JSON

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

{
    "created_epoch": "1217376000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1614729600000",
    "number": "1184880098",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "138 SARA CIR",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139551",
            "telephone_number": "870-291-1290"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "703 BIRDIE DR",
            "city": "HORSESHOE BEND",
            "state": "AR",
            "postal_code": "725122864",
            "telephone_number": "870-291-1290"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "138 Sara Cir",
            "address_purpose": "LOCATION",
            "city": "Ash Flat",
            "state": "AR",
            "postal_code": "725139551",
            "country_code": "US",
            "telephone_number": "870-291-1290",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GASKINS",
        "first_name": "LAURA",
        "middle_name": "KIMBERLY",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-07-30",
        "last_updated": "2021-03-03",
        "certification_date": "2021-03-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "O-T0814",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Horseshoe Bend, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2021; 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.