Individual provider Active NPI

Jonathan Garland, OTD

  • Occupational Therapist
  • Jonesboro, AR
National Provider Identifier
1285272450
Registry record updated Dec 18, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3261 Issued in AR
Practice address
4309 Savanah Hills Dr Apt 238
Jonesboro, AR 72404-7119
Phone
(501) 207-2634
NPI assigned
Dec 18, 2019
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 18, 2019

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225X00000X OTR3261 AR Primary

Addresses

Primary practice location

4309 Savanah Hills Dr Apt 238
Jonesboro, AR 72404-7119

Mailing address

4309 Savanah Hills Dr Apt 238
Jonesboro, AR 72404-7119
Phone (501) 207-2634

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL jonlogangarland@gmail.com

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
OTR3261ARMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1576627200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1576627200000",
    "number": "1285272450",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4309 SAVANAH HILLS DR APT 238",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047119",
            "telephone_number": "501-207-2634"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4309 SAVANAH HILLS DR APT 238",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724047119",
            "telephone_number": "501-207-2634"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GARLAND",
        "first_name": "JONATHAN",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2019-12-18",
        "last_updated": "2019-12-18",
        "certification_date": "2019-12-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3261",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "jonlogangarland@gmail.com",
            "affiliation": "N",
            "address_1": "4309 Savanah Hills Dr Apt 238",
            "city": "Jonesboro",
            "state": "AR",
            "country_code": "US",
            "postal_code": "724047119",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 18, 2019; 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.