Active NPI
Kelsey Madeline Ford, OTR/L
- Occupational Therapist
- Cabot, AR
National Provider Identifier
1215485578
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 207 Plaza Blvd
Cabot, AR 72023-3749 - Phone
- (501) 628-5880
- NPI assigned
- Sep 15, 2016
- 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 | AR | Primary |
Addresses
Primary practice location
207 Plaza Blvd
Cabot, AR 72023-3749
Mailing address
101 Jordan Rd
Vilonia, AR 72173-8010
Phone (870) 370-4875
Other practice location 1
101 Jordan Rd
Vilonia, AR 72173-8010
Phone (870) 370-4875
Other practice location 2
207 Fred Rains Dr
Sherwood, AR 72120-5457
Phone (501) 835-9607
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 217396721 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| North Hills Services Inc | 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.
-
- Developmentally Disabled Services Day Training Agency
- Sherwood, AR
- NPI 1255456281
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1473897600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1748908800000",
"number": "1215485578",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "101 JORDAN RD",
"city": "VILONIA",
"state": "AR",
"postal_code": "721738010",
"telephone_number": "870-370-4875"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "207 PLAZA BLVD",
"city": "CABOT",
"state": "AR",
"postal_code": "720233749",
"telephone_number": "501-628-5880"
}
],
"practiceLocations": [
{
"address_1": "101 Jordan Rd",
"address_purpose": "LOCATION",
"city": "Vilonia",
"state": "AR",
"postal_code": "721738010",
"country_code": "US",
"telephone_number": "870-370-4875",
"country_name": "United States",
"address_type": "DOM"
},
{
"address_1": "207 Fred Rains Dr",
"address_purpose": "LOCATION",
"city": "Sherwood",
"state": "AR",
"postal_code": "721205457",
"country_code": "US",
"telephone_number": "501-835-9607",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "FORD",
"first_name": "KELSEY",
"middle_name": "MADELINE",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2016-09-15",
"last_updated": "2025-06-03",
"certification_date": "2025-06-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "217396721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Cabot, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.