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

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

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
T2015-017ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Its Support Services LLC Occupational Therapist Current
since Jan 19, 2025
Accepting new patients
Higginbotham Therapy Providers LLC Current
since Aug 4, 2024
Accepting new patients

Locations

42 Helter Rd
Pocahontas, AR 72455
Phone (870) 248-1448

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
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

The complete NPPES record for this NPI in the NPI Registry API JSON format, last updated by the provider on Jul 29, 2024.

{
    "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

All providers in Pocahontas, AR · Occupational Therapist in Arkansas

Sources for this page

Verify at the official NPI Registry.