Katelyn Ivy Forbis Roth
Individual provider Active NPI Occupational Therapist · Lowell, AR
NPI 1366375537 · NPPES record last updated Jun 5, 2026
Key facts
- NPI
- 1366375537
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR3826 (AR)
- Practice address
- 2001 Quinlan Ave
Lowell, AR 72745-8049 - Phone
- (479) 366-7968
- NPI assigned
- Jun 5, 2026
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR3826 | AR | MD | Occupational Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3826 | AR | Yes |
Addresses
Primary practice location
2001 Quinlan Ave
Lowell, AR 72745-8049
Mailing address
2001 Quinlan Ave
Lowell, AR 72745-8049
Other providers in Lowell, AR
- Diane Denice Erickson
- Kathleen M Farrar
- Kaitlyn Felder
- Judith Grace Fetters
- Imelda Rosas Flores
- Chad Dwain Ford
- David B. Fort Jr.
- Robin Lianne Forward-Wise
- Nerissa S France
- Michael Antoni Franklin
All providers in Lowell, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 5, 2026. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.