Individual provider Active NPI

Christy L. Cheatham, O.T.

  • Occupational Therapist
  • Magnolia, AR
National Provider Identifier
1245254564
Registry record updated Nov 10, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1343 Issued in AR
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

Updated by the provider on Nov 10, 2022

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
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

IdentifierTypeStateIssuer
162928721MedicaidAR

Other names 1

  • Ms. Christy L. Cheatham Professional name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20061121000721 AR Practitioner - Occupational Therapist in Private Practice 2466450697 Reassigns benefits to 1 organization

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

LicenseStateTypeSpecialty
OTR1343ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Healthquest Multidisciplinary Therapy and Rehabilitation Occupational Therapist CurrentSince Aug 4, 2006 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.

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.

Verify at the official NPI Registry.