Occupational Therapy Associates

Primary specialty

SpecialistTaxonomy code 174400000X

License

1842 Issued in AR

Legal business name

OCCUPATIONAL THERAPY ASSOCIATES

Practice address

3423 E Highland Dr Ste a
Jonesboro, AR 72401-6490

Phone

(870) 336-0021

Fax

(870) 336-0022

NPI assigned

Feb 27, 2008

Last updated

Feb 27, 2008By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Lori Malone, MCDCCC-SLP

Title

SLP/Owner

Phone

(870) 336-0021

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1204070400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1204070400000",
    "number": "1346419074",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3423 E HIGHLAND DR STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016490",
            "telephone_number": "870-336-0021",
            "fax_number": "870-336-0022"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3423 E HIGHLAND DR STE A",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016490",
            "telephone_number": "870-336-0021",
            "fax_number": "870-336-0022"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OCCUPATIONAL THERAPY ASSOCIATES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-27",
        "last_updated": "2008-02-27",
        "status": "A",
        "authorized_official_last_name": "MALONE",
        "authorized_official_first_name": "LORI",
        "authorized_official_title_or_position": "SLP/OWNER",
        "authorized_official_telephone_number": "870-336-0021",
        "authorized_official_credential": "MCDCCC-SLP"
    },
    "taxonomies": [
        {
            "code": "174400000X",
            "taxonomy_group": "",
            "desc": "Specialist",
            "state": "AR",
            "license": "1842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Specialist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Specialist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2008; 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.