Organization Active NPI

The Natural State of Wellness, Inc

  • Occupational Therapist
  • West Fork, AR
National Provider Identifier
1265733570
Registry record updated Nov 3, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR874 Issued in AR
Legal business name
THE NATURAL STATE OF WELLNESS, INC
Practice address
599 N Centennial Ave
West Fork, AR 72774-2711
Phone
(479) 839-8542
Fax
(479) 839-2237
NPI assigned
Nov 3, 2010
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 3, 2010

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

Authorized official

Name
Dianna Carol Alaniz, O.T.
Title
Owner/Occupational Therapist
Phone
(479) 381-3709

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OTR874 AR Primary

Addresses

Primary practice location

599 N Centennial Ave
West Fork, AR 72774-2711

Mailing address

4606 Highland Knolls Rd
Rogers, AR 72758-8869
Phone (479) 381-3709

Other names 1

  • Kid's Choice Therapy Company Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1288742400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288742400000",
    "number": "1265733570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4606 HIGHLAND KNOLLS RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727588869",
            "telephone_number": "479-381-3709",
            "fax_number": "479-936-5969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "599 N CENTENNIAL AVE",
            "city": "WEST FORK",
            "state": "AR",
            "postal_code": "727742711",
            "telephone_number": "479-839-8542",
            "fax_number": "479-839-2237"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE NATURAL STATE OF WELLNESS, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-03",
        "last_updated": "2010-11-03",
        "status": "A",
        "authorized_official_last_name": "ALANIZ",
        "authorized_official_first_name": "DIANNA",
        "authorized_official_middle_name": "CAROL",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "479-381-3709",
        "authorized_official_credential": "O.T."
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR874",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kid's Choice Therapy Company",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in West Fork, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 3, 2010; 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.