Active NPI
Susan Kay Umbaugh, OTRL
- Occupational Therapist
- Bentonville, AR
National Provider Identifier
1215071451
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1824
- Practice address
- 301 SE 28TH St
Bentonville, AR 72712-4195 - Phone
- (479) 464-8788
- NPI assigned
- Feb 19, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OTR1824 | AR | Primary |
Addresses
Primary practice location
301 SE 28TH St
Bentonville, AR 72712-4195
Mailing address
903 S 22ND St
Rogers, AR 72758-4913
Phone (479) 636-9710
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 |
|---|---|---|---|
| OTR1824 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Abc Happy Kids Therapy Services Inc | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Speech-Language Pathologist
- Bentonville, AR
- NPI 1942212659
Occupational Therapist
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171843200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1215071451",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "903 S 22ND ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727584913",
"telephone_number": "479-636-9710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "301 SE 28TH ST",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727124195",
"telephone_number": "479-464-8788"
}
],
"practiceLocations": [],
"basic": {
"last_name": "UMBAUGH",
"first_name": "SUSAN",
"middle_name": "KAY",
"name_prefix": "Ms.",
"credential": "OTRL",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-02-19",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1824",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bentonville, AR
- Wanda Turner, MHPP
- Shelley Tustison
- Richard Duane Tutt, M.D.
- Twin Rivers Respiratory Care, Inc. (AeroCare Home Medical)
- Bailey Uldrich
- Unbridled Holdings LLC
- Alanna Renee Underwood
- Sandra M Underwood, M.S., LPC, LAMFT
- Unified Medical Equipment Solutions, Inc. (Unified Medical Equipment Solutions Bentonville)
- United Woundcare Institute Arkansas PLLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.