Active NPI
Christy L. Cheatham, O.T.
- Occupational Therapist
- Magnolia, AR
National Provider Identifier
1245254564
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1343
- Practice address
- 1515 E Main St
Magnolia, AR 71753-3801 - Phone
- (870) 234-2255
- Fax
- (870) 234-2274
- NPI assigned
- Jul 27, 2006
- 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 | OTR1343 | AR | Primary |
Addresses
Primary practice location
1515 E Main St
Magnolia, AR 71753-3801
Mailing address
1515 E Main St
Magnolia, AR 71753-3801
Phone (870) 234-2255
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 162928721 | Medicaid | AR |
Other names 1
- Ms. Christy L. Cheatham
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
1010 N Dudney Rd
Suite D
Magnolia, AR 71753-2651
Phone 87023422554
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1343 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Healthquest Multidisciplinary Therapy and Rehabilitation | Occupational Therapist | Current | Accepting new patients |
Locations
1515 E Main St
Magnolia, AR 71753
Phone (870) 234-2255
1010 N Dudney Rd
Ste D
Magnolia, AR 71753
Phone (870) 234-2255
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.
-
- Occupational Therapist
- Magnolia, AR
- NPI 1891806964
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1153958400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1668038400000",
"number": "1245254564",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1515 E MAIN ST",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717533801",
"telephone_number": "870-234-2255",
"fax_number": "870-234-2274"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1515 E MAIN ST",
"city": "MAGNOLIA",
"state": "AR",
"postal_code": "717533801",
"telephone_number": "870-234-2255",
"fax_number": "870-234-2274"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHEATHAM",
"first_name": "CHRISTY",
"middle_name": "L.",
"name_prefix": "Ms.",
"credential": "O.T.",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2006-07-27",
"last_updated": "2022-11-10",
"certification_date": "2022-11-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1343",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "162928721",
"state": "AR"
}
],
"endpoints": [],
"other_names": [
{
"first_name": "CHRISTY",
"last_name": "CHEATHAM",
"middle_name": "L.",
"prefix": "MS.",
"credential": "O.T.",
"code": "2",
"type": "Professional Name"
}
]
}
Other providers in Magnolia, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 10, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.