Active NPI
Katherine Spain, OTR/L
- Pediatric Occupational Therapist
- Little Rock, AR
National Provider Identifier
1194039263
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR2373
- Practice address
- 3920 Woodland Heights Rd
Little Rock, AR 72212-2495 - Phone
- (501) 227-3600
- NPI assigned
- Aug 1, 2010
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR2373 | AR | Primary |
Addresses
Primary practice location
3920 Woodland Heights Rd
Little Rock, AR 72212-2495
Mailing address
3920 Woodland Heights Rd
Little Rock, AR 72212-2495
Phone (501) 227-3600
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 184694721 | Medicaid | AR |
Other names 1
- Katherine Carlisle
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2373 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Easter Seals Arkansas | Past | Accepting new patients |
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.
-
- Behavior Analyst
- Little Rock, AR
- NPI 1457010340
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1280620800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1661472000000",
"number": "1194039263",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3920 WOODLAND HEIGHTS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122495",
"telephone_number": "501-227-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3920 WOODLAND HEIGHTS RD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722122495",
"telephone_number": "501-227-3600"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SPAIN",
"first_name": "KATHERINE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2010-08-01",
"last_updated": "2022-08-26",
"certification_date": "2022-08-26",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR2373",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "184694721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "KATHERINE",
"last_name": "CARLISLE",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.