Callie Cardellia Jordan, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT2019-018 Issued in AR

Practice address

146 Linwood Dr
Paragould, AR 72450

Phone

(870) 520-8761

NPI assigned

May 25, 2015

Last updated

Oct 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other names 1

• Callie Cardellia Jones Former name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Birch Tree Communities, Inc

  dba Clinton Branch

  • Community/Behavioral Health Agency
  • Clinton, AR
  • NPI 1629228606
  NPD (past)
• Hands on Learning, LLC.

  • Speech-Language Pathologist
  • Paragould, AR
  • NPI 1356742852

  Occupational Therapy Assistant

  NPD (past)

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

{
    "created_epoch": "1432512000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1570060800000",
    "number": "1205215282",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10 REBEL HEIGHTS LN",
            "city": "HIGHLAND",
            "state": "AR",
            "postal_code": "725429490",
            "telephone_number": "870-847-2989"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "146 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "72450",
            "telephone_number": "870-520-8761"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "44 Martin Ln",
            "address_purpose": "LOCATION",
            "city": "Ash Flat",
            "state": "AR",
            "postal_code": "725139749",
            "country_code": "US",
            "telephone_number": "870-994-2848",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "JORDAN",
        "first_name": "CALLIE",
        "middle_name": "CARDELLIA",
        "credential": "OTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-25",
        "last_updated": "2019-10-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT2019-018",
            "primary": true
        },
        {
            "code": "171M00000X",
            "taxonomy_group": "",
            "desc": "Case Manager/Care Coordinator",
            "state": "AR",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "CALLIE",
            "last_name": "JONES",
            "middle_name": "CARDELLIA",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Hillary Tripod Jones, AU.D, CCC-A, F-AAA
• Jennifer Jones
• Jeremy A Jones, PHARM D
• Kristy Jones
• Michele Lynn Jones
• Jamie L Jordan, APN
• Journey to a New You, PLLC
• JPC Medical Inc (Hines Family Medicine)
• JT Dewitt D.O.P.a (Synergy Elite Medical)
• Lauren Emily Junghans

• Occupational Therapy Assistant in Paragould, AR
• Providers in Paragould, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2019; 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.