Individual provider Active NPI

Jacqueline Wolfe Sumler, MS, OTR/L

  • Occupational Therapist
  • Sherwood, AR
National Provider Identifier
1356597736
Registry record updated Apr 7, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR226 Issued in AR
Practice address
207 Fred Rains Dr
Sherwood, AR 72120-5457
Phone
(591) 834-0217
NPI assigned
Aug 17, 2008
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 7, 2021

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 OTR226 AR Primary

Addresses

Primary practice location

207 Fred Rains Dr
Sherwood, AR 72120-5457

Mailing address

8895 Highway 319 W
Austin, AR 72007-9301
Phone (501) 912-1826

Other practice location 1

6800 Indian Hills Dr
North Little Rock, AR 72116-5330
Phone (501) 835-5622

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OTR226ARMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1218931200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1617753600000",
    "number": "1356597736",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8895 HIGHWAY 319 W",
            "city": "AUSTIN",
            "state": "AR",
            "postal_code": "720079301",
            "telephone_number": "501-912-1826"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 FRED RAINS DR",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721205457",
            "telephone_number": "591-834-0217"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "6800 Indian Hills Dr",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721165330",
            "country_code": "US",
            "telephone_number": "501-835-5622",
            "fax_number": "501-835-9580",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "SUMLER",
        "first_name": "JACQUELINE",
        "middle_name": "WOLFE",
        "name_prefix": "Mrs.",
        "credential": "MS, OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2008-08-17",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR226",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Sherwood, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.