Active NPI
Amanda Campbell
- Pediatric Occupational Therapist
- Rogers, AR
National Provider Identifier
1366860728
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR2702
- 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
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 202225721 | Medicaid | AR | |
| O-T1409 | Other | AR | ARKANSAS STATE MEDICAL BOARD |
| OTR2707 | Other | AR | ARKANSAS STATE MEDICAL BOARD |
Other names 1
- Amanda Quinley
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
| License | State | Type | Specialty |
|---|---|---|---|
| O-T1409 | AR | MD | Occupational Therapist |
| OTR2702 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Regional Therapy Services, Inc. | Current | Accepting new patients | |
| Regional Therapy Services, Inc. | Current | 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.
-
- Speech-Language Pathologist
- Rogers, AR
- NPI 1356313340
-
- Counselor
- Rogers, AR
- NPI 1437716701
-
- Developmental Disabilities Clinic/Center
- Fayetteville, AR
- NPI 1619337904
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.