NPIMap

Organization Active NPI

Western Arkansas Pediatric Rehab Inc.

  • Pediatric Occupational Therapist
  • Charleston, AR
National Provider Identifier
1215098462
Registry record updated May 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
Legal business name
WESTERN ARKANSAS PEDIATRIC REHAB INC.
Practice address
1919 Charmont Drive
Charleston, AR 72933-0871
Phone
(479) 965-6752
NPI assigned
Dec 12, 2006
Last updated
May 8, 2019By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 8, 2019

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

Authorized official

Name
Ms. Anna Marie Rowland, OTR
Title
President
Phone
(479) 965-2612

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical Therapist 2251P0200X
Pediatric Occupational Therapist 225XP0200X Primary

Addresses

Primary practice location

1919 Charmont Drive
Charleston, AR 72933-0871

Mailing address

PO Box 871
Charleston, AR 72933-0871
Phone (479) 965-6752

Other identifiers 1

IdentifierTypeStateIssuer
132403742MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 10

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1165881600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1215098462",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 871",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729330871",
            "telephone_number": "479-965-6752"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 CHARMONT DRIVE",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729330871",
            "telephone_number": "479-965-6752"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WESTERN ARKANSAS PEDIATRIC REHAB INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-12",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "ROWLAND",
        "authorized_official_first_name": "ANNA",
        "authorized_official_middle_name": "MARIE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-965-2612",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "132403742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 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.