Davinia Archer, MSOTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

O-T1157 Issued in AR

Practice address

427 W Centerton Blvd
Centerton, AR 72719-8701

Phone

(479) 795-1260

Fax

(479) 795-1260

NPI assigned

Sep 15, 2011

Last updated

Sep 15, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imagine Occupational Therapy Services

  dba Imagine Pediatric Therapies

  • Occupational Therapist
  • Bentonville, AR
  • NPI 1124241120
  NPD (past)

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

{
    "created_epoch": "1316044800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1316044800000",
    "number": "1245512235",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "427 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727198701",
            "telephone_number": "479-795-1260",
            "fax_number": "479-795-1260"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "427 W CENTERTON BLVD",
            "city": "CENTERTON",
            "state": "AR",
            "postal_code": "727198701",
            "telephone_number": "479-795-1260",
            "fax_number": "479-795-1260"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ARCHER",
        "first_name": "DAVINIA",
        "credential": "MSOTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-09-15",
        "last_updated": "2011-09-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "O-T1157",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Samantha Aastrup
• Lois Leann Ahrents, PTA
• Apex Physical Therapy, LLC (ApexNetwork Physical Therapy)
• Apexnetwork Arkansas, LLC (ApexNetwork Physical Therapy)
• Apple Creek Health and Rehab, LLC
• Armour Anesthesia
• Emily Barden, PDIC
• Behavior Consulting Solutions, LLC
• Claire Nicole Warren Bennington, LMT
• Bentonville Birth Services, LLC

• Occupational Therapist in Centerton, AR
• Providers in Centerton, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 15, 2011; 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.