Davinia Archer, MSOTR/L
Individual provider Active NPI Occupational Therapist · Centerton, AR
NPI 1245512235 · NPPES record last updated Sep 15, 2011
Key facts
- NPI
- 1245512235
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- O-T1157 (AR)
- Practice address
- 427 W Centerton Blvd
Centerton, AR 72719-8701 - Phone
- (479) 795-1260
- Fax
- (479) 795-1260
- NPI assigned
- Sep 15, 2011
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| O-T1157 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Imagine Occupational Therapy Services | Occupational Therapist | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | O-T1157 | AR | Yes |
Addresses
Primary practice location
427 W Centerton Blvd
Centerton, AR 72719-8701
Mailing address
427 W Centerton Blvd
Centerton, AR 72719-8701
Phone (479) 795-1260
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| O-T1157 | Other | AR | ARKANSAS STATE LICENSE |
Other providers in Centerton, AR
- Samantha Aastrup
- Lois Leann Ahrents
- Apex Physical Therapy, LLC
- Apexnetwork Arkansas, LLC
- Apple Creek Health and Rehab, LLC
- Armour Anesthesia
- Emily Barden
- Behavior Consulting Solutions, LLC
- Claire Nicole Warren Bennington
- Bentonville Birth Services, LLC
All providers in Centerton, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.