Individual provider Active NPI

Deanna Pullig Graham, COTA/L

  • Occupational Therapy Assistant
  • Heber Springs, AR
National Provider Identifier
1285989905
Registry record updated Sep 23, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A679 Issued in AR
Practice address
112 South 5TH St.
Heber Springs, AR 72543-3816
Phone
(501) 436-0244
Fax
(501) 436-5113
NPI assigned
Jul 18, 2012
Last updated
Sep 23, 2020By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Sep 23, 2020

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A679 AR Primary

Addresses

Primary practice location

112 South 5TH St.
Heber Springs, AR 72543-3816

Mailing address

55 Sawmill Rd. South
Quitman, AR 72131-6009
Phone (501) 436-0244

Other identifiers 1

IdentifierTypeStateIssuer
193942721MedicaidAR

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
OT-A679ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
7 Senses Therapy, LLC Occupational Therapy Assistant CurrentSince Sep 27, 2020 Accepting new patients
Sense-Able Kidz Therapy Services LLC Past Accepting new patients

Locations

112 S 5th St
Heber Springs, AR 72543
Phone (501) 436-0244

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, 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": "1342569600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1600819200000",
    "number": "1285989905",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 SAWMILL RD. SOUTH",
            "city": "QUITMAN",
            "state": "AR",
            "postal_code": "721316009",
            "telephone_number": "501-436-0244",
            "fax_number": "501-436-5113"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "112 SOUTH 5TH ST.",
            "city": "HEBER SPRINGS",
            "state": "AR",
            "postal_code": "725433816",
            "telephone_number": "501-436-0244",
            "fax_number": "501-436-5113"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GRAHAM",
        "first_name": "DEANNA",
        "middle_name": "PULLIG",
        "name_prefix": "Mrs.",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2012-07-18",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A679",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "193942721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Heber Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.