Individual provider Active NPI

Jessica Chapin, OT

  • Occupational Therapist
  • N Little Rock, AR
National Provider Identifier
1285038810
Registry record updated Nov 13, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR2750 Issued in AR
Practice address
308 Smokey LN
N Little Rock, AR 72117-2508
Phone
(501) 771-2799
Fax
(501) 758-6215
NPI assigned
Oct 10, 2014
Last updated
Nov 13, 2017By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 13, 2017

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR2750 AR Primary

Addresses

Primary practice location

308 Smokey LN
N Little Rock, AR 72117-2508

Mailing address

PO Box 308
Conway, AR 72033-0308
Phone (501) 771-4370

Other names 1

  • Jessica Moore Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20141119001198 AR Practitioner - Occupational Therapist in Private Practice 8325260763 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2014
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Horizon Orthorehab Clinic, LTDGroup PAC ID 6204258486, 2 clinicians

Practice addresses (Care Compare)

4100 Landers Rd
North Little Rock, AR 72117-2524
Phone (501) 916-2299

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR2750ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Horizon Orthorehab Clinic, LTD Occupational Therapist CurrentSince May 27, 2020 Accepting new patients
Arkansas Pain Centers LTD CurrentSince Oct 1, 2014 Accepting new patients
Arkansas Pain Centers, LTD CurrentSince Oct 1, 2014 Accepting new patients

Locations

308 Smokey Ln
North Little Rock, AR 72117
Phone (501) 255-2512

4100 Landers Rd
North Little Rock, AR 72117
Phone (501) 916-2299

Organizations & group practices 3

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": "1412899200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1510531200000",
    "number": "1285038810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 308",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720330308",
            "telephone_number": "501-771-4370",
            "fax_number": "501-327-9722"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "308 SMOKEY LN",
            "city": "N LITTLE ROCK",
            "state": "AR",
            "postal_code": "721172508",
            "telephone_number": "501-771-2799",
            "fax_number": "501-758-6215"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CHAPIN",
        "first_name": "JESSICA",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-10-10",
        "last_updated": "2017-11-13",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2750",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JESSICA",
            "last_name": "MOORE",
            "credential": "OT",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in N Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 13, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.