Destiny Draper, PTA

Primary specialty

Physical Medicine & Rehabilitation PhysicianTaxonomy code 208100000X

License

4695 Issued in AR

Practice address

201 SW 14TH St Ste 205
Bentonville, AR 72712-7771

Phone

(419) 294-2465

NPI assigned

Jan 16, 2022

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1642291200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1642291200000",
    "number": "1356092852",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "718 S 24TH ST",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727584053"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "201 SW 14TH ST STE 205",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127771",
            "telephone_number": "419-294-2465"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DRAPER",
        "first_name": "DESTINY",
        "credential": "PTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2022-01-16",
        "last_updated": "2022-01-16",
        "certification_date": "2022-01-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "208100000X",
            "taxonomy_group": "",
            "desc": "Physical Medicine & Rehabilitation",
            "state": "AR",
            "license": "4695",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Doyel, MA
• Dr Noah Banks Chiropractic PLLC
• Dr. Kenneth Thompson D.D.S.
• Dr. Wil R. McCauley, P.a.
• Sarah Ashley Drain
• Lisa Draxler, MHPP
• Tricia L Dreas, LMSW
• Teresa Driggs
• DRS. Nathaniel and Katherine Behrents DDS PC
• David T Drummond, D.D.S

• Physical Medicine & Rehabilitation Physician in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Physical Medicine & Rehabilitation Physician in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 16, 2022; 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.