Individual provider Active NPI

Lindsay Dwyer, OTR/L

  • Occupational Therapist
  • Mountain Home, AR
National Provider Identifier
1275947996
Registry record updated May 13, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2021-032 Issued in AR
Practice address
1310 Bradley Dr
Mountain Home, AR 72653-2730
Phone
(870) 424-4021
NPI assigned
Jun 20, 2014
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 13, 2024

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Counselor 101Y00000X
Occupational Therapist 225X00000X
Occupational Therapist 225X00000X OT2021-032 AR Primary

Addresses

Primary practice location

1310 Bradley Dr
Mountain Home, AR 72653-2730

Mailing address

33 Pine Forest TRL
Calico Rock, AR 72519-9520
Phone (870) 321-5850

Other practice location 1

602 N Walton Blvd
Bentonville, AR 72712-4576
Phone (870) 425-8642

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
OT2021-032ARMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1403222400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1715558400000",
    "number": "1275947996",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "33 PINE FOREST TRL",
            "city": "CALICO ROCK",
            "state": "AR",
            "postal_code": "725199520",
            "telephone_number": "870-321-5850"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1310 BRADLEY DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532730",
            "telephone_number": "870-424-4021"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "602 N Walton Blvd",
            "address_purpose": "LOCATION",
            "city": "Bentonville",
            "state": "AR",
            "postal_code": "727124576",
            "country_code": "US",
            "telephone_number": "870-425-8642",
            "fax_number": "870-425-8652",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "DWYER",
        "first_name": "LINDSAY",
        "name_prefix": "Dr.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-06-20",
        "last_updated": "2024-05-13",
        "certification_date": "2024-05-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "101Y00000X",
            "taxonomy_group": "",
            "desc": "Counselor",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OT2021-032",
            "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 May 13, 2024; 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.