Individual provider Active NPI

Amanda Campbell

  • Pediatric Occupational Therapist
  • Rogers, AR
National Provider Identifier
1366860728
Registry record updated Apr 21, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTR2702 Issued in AR
Practice address
2510 W Hudson Rd
Rogers, AR 72756-2072
Phone
(479) 936-1061
Fax
(855) 812-1132
NPI assigned
Apr 2, 2014
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Apr 21, 2025

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X O-T1409 AR
Pediatric Occupational Therapist 225XP0200X OTR2702 AR Primary

Addresses

Primary practice location

2510 W Hudson Rd
Rogers, AR 72756-2072

Mailing address

1821 Larkspur St
Springdale, AR 72764-3015
Phone (479) 318-5980

Other identifiers 3

IdentifierTypeStateIssuer
202225721MedicaidAR
O-T1409OtherARARKANSAS STATE MEDICAL BOARD
OTR2707OtherARARKANSAS STATE MEDICAL BOARD

Other names 1

  • Amanda Quinley Former name

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

LicenseStateTypeSpecialty
O-T1409ARMDOccupational Therapist
OTR2702ARMDPediatric Occupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Regional Therapy Services, Inc. CurrentSince Apr 27, 2025 Accepting new patients
Regional Therapy Services, Inc. CurrentSince Apr 27, 2025 Accepting new patients
Horse-Play Pediatrics Past Accepting new patients

Locations

2510 W Hudson Rd
Rogers, AR 72756
Phone (479) 936-1061

Organizations & group practices 3

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.

NPI Registry JSON

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

{
    "created_epoch": "1396396800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1745193600000",
    "number": "1366860728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 LARKSPUR ST",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727643015",
            "telephone_number": "479-318-5980"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2510 W HUDSON RD",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "727562072",
            "telephone_number": "479-936-1061",
            "fax_number": "855-812-1132"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CAMPBELL",
        "first_name": "AMANDA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2014-04-02",
        "last_updated": "2025-04-21",
        "certification_date": "2025-04-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "O-T1409",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR2702",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "202225721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICAL BOARD",
            "identifier": "O-T1409",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS STATE MEDICAL BOARD",
            "identifier": "OTR2707",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "AMANDA",
            "last_name": "QUINLEY",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Rogers, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 21, 2025; 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.