Individual provider Active NPI

Kelsey Solida, COTA/L

  • Occupational Therapy Assistant
  • Fort Smith, AR
National Provider Identifier
1245014034
Registry record updated Aug 22, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
A1863 Issued in AR
Practice address
1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939
Phone
(501) 772-1461
NPI assigned
Aug 22, 2023
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 22, 2023

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 A1863 AR Primary

Addresses

Primary practice location

1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939

Mailing address

1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939
Phone (501) 772-1461

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
A1863ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Sprouts Therapy Center CurrentSince Sep 5, 2023 Accepting new patients

Locations

1821 Phoenix Ave
Ste A
Fort Smith, AR 72901
Phone (479) 222-1924

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.

NPI Registry JSON

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

{
    "created_epoch": "1692662400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1692662400000",
    "number": "1245014034",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 PHOENIX AVE STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017939",
            "telephone_number": "501-772-1461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 PHOENIX AVE STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017939",
            "telephone_number": "501-772-1461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SOLIDA",
        "first_name": "KELSEY",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2023-08-22",
        "last_updated": "2023-08-22",
        "certification_date": "2023-08-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "A1863",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2023; 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.