Kaylin Brown, OTR/L
Individual provider Active NPI Occupational Therapist · Pocahontas, AR
NPI 1275925778 · NPPES record last updated Jul 29, 2024
Key facts
- NPI
- 1275925778
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 42 Helter Rd
Pocahontas, AR 72455-1359 - Phone
- (870) 248-1448
- Fax
- (870) 248-1450
- NPI assigned
- Feb 20, 2015
- Sex
- Female
- Sole proprietor
- Yes
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 |
|---|---|---|---|
| T2015-017 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Its Support Services LLC | Occupational Therapist | Current |
Accepting new patients |
| Higginbotham Therapy Providers LLC | Current |
Accepting new patients |
Locations
42 Helter Rd
Pocahontas, AR 72455
Phone (870) 248-1448
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | T2015-017 | AR | |
| Occupational Therapist | 225X00000X | Yes |
Addresses
Primary practice location
42 Helter Rd
Pocahontas, AR 72455-1359
Mailing address
42 Helter Rd
Pocahontas, AR 72455-1359
Phone (870) 378-2323
NPI Registry JSON
{
"created_epoch": "1424390400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1722211200000",
"number": "1275925778",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "42 HELTER RD",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724551359",
"telephone_number": "870-378-2323",
"fax_number": "870-248-1450"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "42 HELTER RD",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724551359",
"telephone_number": "870-248-1448",
"fax_number": "870-248-1450"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BROWN",
"first_name": "KAYLIN",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2015-02-20",
"last_updated": "2024-07-29",
"certification_date": "2024-07-29",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "T2015-017",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocahontas, AR
- Amber Dawn Broadway
- Christy A Broadway
- Justin Broadway
- Alison Brooks
- Kaleb Jarrett Brown
- Tiffany Brumley
- Andrew C Bryson
- Randall Keith Burge
- Clarissa D Burgess
- Amanda Louise Burnette
All providers in Pocahontas, 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 Jul 29, 2024. 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.