Individual provider Active NPI

Robert Pippinger, OTR/L

  • Occupational Therapist
  • Jonesboro, AR
National Provider Identifier
1316375603
Registry record updated Oct 23, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
2666 Issued in AR
Practice address
4521 Summit Ridge Dr
Jonesboro, AR 72404-9103
Phone
(870) 219-5515
NPI assigned
Oct 23, 2013
Last updated
Oct 23, 2013By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2013

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 2666 AR Primary

Addresses

Primary practice location

4521 Summit Ridge Dr
Jonesboro, AR 72404-9103

Mailing address

4521 Summit Ridge Dr
Jonesboro, AR 72404-9103
Phone (870) 219-5515

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
2666ARMDOptometrist

NPI Registry JSON

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

{
    "created_epoch": "1382486400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1382486400000",
    "number": "1316375603",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4521 SUMMIT RIDGE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049103",
            "telephone_number": "870-219-5515"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4521 SUMMIT RIDGE DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049103",
            "telephone_number": "870-219-5515"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "PIPPINGER",
        "first_name": "ROBERT",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2013-10-23",
        "last_updated": "2013-10-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "2666",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "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 Oct 23, 2013; 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.