Active NPI
Lea Charlton, OTR/L
- Occupational Therapist
- Little Rock, AR
National Provider Identifier
1215145131
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR936
- Practice address
- 812 N Palm St
Little Rock, AR 72205-1947 - Phone
- (501) 612-3509
- Fax
- (501) 280-9199
- NPI assigned
- May 21, 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 | OTR936 | AR | Primary |
Addresses
Primary practice location
812 N Palm St
Little Rock, AR 72205-1947
Mailing address
812 N Palm St
Little Rock, AR 72205-1947
Phone (501) 612-3509
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 128613721 | Medicaid | AR |
Other names 1
- Lea Hofheimer
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 |
|---|---|---|---|
| OTR936 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179705600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1213920000000",
"number": "1215145131",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "812 N PALM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051947",
"telephone_number": "501-612-3509"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "812 N PALM ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722051947",
"telephone_number": "501-612-3509",
"fax_number": "501-280-9199"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHARLTON",
"first_name": "LEA",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-05-21",
"last_updated": "2008-06-20",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR936",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "128613721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "LEA",
"last_name": "HOFHEIMER",
"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 Jun 20, 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.