Active NPI
Morgan Reyes, COTA
- Occupational Therapy Assistant
- Bentonville, AR
National Provider Identifier
1326484288
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- Practice address
- 1601 Greenhouse Rd
Bentonville, AR 72713-9292 - Phone
- (479) 795-1260
- NPI assigned
- May 20, 2013
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OT-A759 | AR | |
| Occupational Therapy Assistant | 224Z00000X | Primary |
Addresses
Primary practice location
1601 Greenhouse Rd
Bentonville, AR 72713-9292
Mailing address
3801 Main Dr Ste B
Fayetteville, AR 72704-6364
Phone (479) 856-6400
Other practice location 1
3801 Main Dr Ste B
Fayetteville, AR 72704-6364
Phone (479) 856-6400
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 197298721 | Medicaid | AR |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A759 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Thera-Play Pediatric Services | Past | Accepting new patients | |
| Imagine Occupational Therapy Services | Past | Accepting new patients |
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 and National Provider Directory roles.
-
- Occupational Therapist
- Bentonville, AR
- NPI 1124241120
-
- Speech-Language Pathologist
- Fayetteville, AR
- NPI 1104165307
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1369008000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1537747200000",
"number": "1326484288",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3801 MAIN DR STE B",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727046364",
"telephone_number": "479-856-6400",
"fax_number": "479-856-6623"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1601 GREENHOUSE RD",
"city": "BENTONVILLE",
"state": "AR",
"postal_code": "727139292",
"telephone_number": "479-795-1260"
}
],
"practiceLocations": [
{
"address_1": "3801 Main Dr Ste B",
"address_purpose": "LOCATION",
"city": "Fayetteville",
"state": "AR",
"postal_code": "727046364",
"country_code": "US",
"telephone_number": "479-856-6400",
"fax_number": "479-856-6623",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "REYES",
"first_name": "MORGAN",
"credential": "COTA",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2013-05-20",
"last_updated": "2018-09-24",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A759",
"primary": false
},
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "197298721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bentonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2018; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.