Braci Edmondson, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Fort Smith, AR
NPI 1245824952 · NPPES record last updated Jun 28, 2022
Key facts
- NPI
- 1245824952
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OT-A1600 (AR)
- Practice address
- 5400 Euper LN
Fort Smith, AR 72903 - Phone
- (479) 755-6601
- NPI assigned
- Feb 23, 2021
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 2
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 |
|---|---|---|---|
| OT-A1600 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Kids Unlimited Learning Academy of Fort Smith | Current |
Accepting new patients | |
| Kids Unlimited Learning Academy of Ft. Smith | Past |
Accepting new patients |
Locations
5400 Euper Ln
Fort Smith, AR 72903
Phone (479) 300-6400
3127 Southwest Dr
Ste A
Jonesboro, AR 72404
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | |||
| Occupational Therapy Assistant | 224Z00000X | OT-A1600 | AR | Yes |
Addresses
Primary practice location
5400 Euper LN
Fort Smith, AR 72903
Mailing address
5400 Euper LN
Fort Smith, AR 72903
Phone (870) 336-8100
Other names
- Braci Cook
Other providers in Fort Smith, AR
- Kristen W Eckelhoff
- Anne Michelle Eckes
- Darryl W Eckes
- Cindy Lee Edge
- Debra Edgeman
- Cheryl Lee Edwards
- Gary S Edwards
- Kelsey Edwards
- Lindsey Edwards
- Logan Elise Edwards
All providers in Fort Smith, AR · Occupational Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 28, 2022. 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.