Makaya Banks, OTD, OTR/L
Individual provider Active NPI Occupational Therapist · Little Rock, AR
NPI 1306694740 · NPPES record last updated May 10, 2024
Key facts
- NPI
- 1306694740
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR3940 (AR)
- Practice address
- 16100 Chenal Valley Dr
Little Rock, AR 72223-4042 - Phone
- (501) 267-9554
- NPI assigned
- May 10, 2024
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare Care Compare profile
- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2023
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
21621 Spann Rd
Little Rock, AR 72206-9079
3 Opalin Rd
Little Rock, AR 72210-5416
3530 Market Place Ave
Suite 200
Bryant, AR 72022-9203
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in AR
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240516004117 | AR | Practitioner - Occupational Therapist in Private Practice | 8820439177 | Reassigns benefits to 1 organization |
National Provider Directory
- Medicare enrollment (NPD)
- Yes
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3940 | AR | Yes |
Addresses
Primary practice location
16100 Chenal Valley Dr
Little Rock, AR 72223-4042
Mailing address
13607 Dynasty Dr
Alexander, AR 72002-7294
Other providers in Little Rock, AR
- Christopher John Banks
- Christy Loring Banks
- Knikiah A. Banks Sr.
- Krameelah Marshae Banks
- Major Banks III
- Mary Ombatsa Banks
- Stephen Drew Bannerman
- Antonia Bannister
- Ila Bansal
- Meghana Bansal
All providers in Little Rock, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 10, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.