Active NPI
Cynthia Lavonne Mathis, MOT, OTR/L, CHT
- Occupational Therapist
- Fort Smith, AR
National Provider Identifier
1194970749
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR521
- Practice address
- 3501 W.E. Knight Dr.
Fort Smith, AR 72903 - Phone
- (479) 709-6700
- Fax
- (479) 709-8355
- NPI assigned
- Nov 24, 2008
- 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 |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR521 | AR | Primary |
Addresses
Primary practice location
3501 W.E. Knight Dr.
Fort Smith, AR 72903
Mailing address
Box 11230
Fort Smith, AR 72917-1230
Phone (479) 709-6700
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR521 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Hill & Ironside LTD | Occupational Therapist | 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.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1227484800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1227484800000",
"number": "1194970749",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "BOX 11230",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729171230",
"telephone_number": "479-709-6700",
"fax_number": "479-709-8355"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3501 W.E. KNIGHT DR.",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "72903",
"telephone_number": "479-709-6700",
"fax_number": "479-709-8355"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MATHIS",
"first_name": "CYNTHIA",
"middle_name": "LAVONNE",
"name_prefix": "Ms.",
"credential": "MOT, OTR/L, CHT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-11-24",
"last_updated": "2008-11-24",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR521",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 24, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.