Individual provider Active NPI

Kerri Ann Schriver, OTA

  • Occupational Therapy Assistant
  • Danville, AR
National Provider Identifier
1215656780
Registry record updated Aug 26, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1824 Issued in AR
Practice address
10668 Lydia LN
Danville, AR 72833-6890
Phone
(479) 495-0651
NPI assigned
Aug 26, 2022
Last updated
Aug 26, 2022By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 26, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1824 AR Primary

Addresses

Primary practice location

10668 Lydia LN
Danville, AR 72833-6890

Mailing address

10668 Lydia LN
Danville, AR 72833-6890

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL buildingblocks

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

LicenseStateTypeSpecialty
OT-A1824ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Building Blocks Pediatric Therapy, PA CurrentSince Apr 14, 2024 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.

NPI Registry JSON

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

{
    "created_epoch": "1661472000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1661472000000",
    "number": "1215656780",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10668 LYDIA LN",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728336890"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10668 LYDIA LN",
            "city": "DANVILLE",
            "state": "AR",
            "postal_code": "728336890",
            "telephone_number": "479-495-0651"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCHRIVER",
        "first_name": "KERRI",
        "middle_name": "ANN",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-08-26",
        "last_updated": "2022-08-26",
        "certification_date": "2022-08-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1824",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "buildingblocks",
            "affiliation": "N",
            "address_1": "10668 Lydia Ln",
            "city": "Danville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "728336890",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Danville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2022; 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.