Individual provider Active NPI

Bailey Grace Latchaw, COTA/L

  • Occupational Therapy Assistant
  • Mountain Home, AR
National Provider Identifier
1275259970
Registry record updated Jul 14, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1886 Issued in AR
Practice address
707 N Cardinal Dr Ste 4
Mountain Home, AR 72653-3274
Phone
(870) 404-0270
NPI assigned
Oct 13, 2022
Last updated
Jul 14, 2023By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 14, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1886 AR Primary

Addresses

Primary practice location

707 N Cardinal Dr Ste 4
Mountain Home, AR 72653-3274

Mailing address

109 Ryan Rd Apt 3
Cotter, AR 72626-9208
Phone (501) 859-4093

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-A1886ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Speech Services, LLC Occupational Therapy Assistant CurrentSince Feb 10, 2024 Accepting new patients

Locations

707 N Cardinal Dr
Ste 4
Mountain Home, AR 72653
Phone (870) 404-0270

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1665619200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1689292800000",
    "number": "1275259970",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "109 RYAN RD APT 3",
            "city": "COTTER",
            "state": "AR",
            "postal_code": "726269208",
            "telephone_number": "501-859-4093"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 N CARDINAL DR STE 4",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533274",
            "telephone_number": "870-404-0270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LATCHAW",
        "first_name": "BAILEY",
        "middle_name": "GRACE",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-10-13",
        "last_updated": "2023-07-14",
        "certification_date": "2023-07-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1886",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 14, 2023; 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.