Active NPI
Kenneth Omalley, OTR
- Occupational Therapist
- Harrison, AR
National Provider Identifier
1235572264
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2117
- Practice address
- 501 N Main St
Ste C
Harrison, AR 72601-3535 - Phone
- (870) 743-5573
- Fax
- (870) 743-5974
- NPI assigned
- Apr 9, 2013
- Last updated
- Apr 9, 2013
- Sex
- Male
- Sole proprietor
- No
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 | OTR2117 | AR | Primary |
Addresses
Primary practice location
501 N Main St
Ste C
Harrison, AR 72601-3535
Mailing address
PO Box 841
Harrison, AR 72602-0841
Phone (870) 743-5573
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR2117 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1365465600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1365465600000",
"number": "1235572264",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 841",
"city": "HARRISON",
"state": "AR",
"postal_code": "726020841",
"telephone_number": "870-743-5573",
"fax_number": "870-743-5974"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "501 N MAIN ST",
"address_2": "STE C",
"city": "HARRISON",
"state": "AR",
"postal_code": "726013535",
"telephone_number": "870-743-5573",
"fax_number": "870-743-5974"
}
],
"practiceLocations": [],
"basic": {
"last_name": "OMALLEY",
"first_name": "KENNETH",
"credential": "OTR",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2013-04-09",
"last_updated": "2013-04-09",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2117",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Harrison, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 9, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.