Audrey Birge
Individual provider Active NPI Occupational Therapy Assistant · Jacksonville, AR
NPI 1376291385 · NPPES record last updated Mar 17, 2022
Key facts
- NPI
- 1376291385
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- Practice address
- 601 N 1St St Ste 4
Jacksonville, AR 72076-4139 - Phone
- (501) 241-0410
- NPI assigned
- Mar 17, 2022
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All God'S Children Therapy Center | Current |
Accepting new patients |
Locations
601 N 1st St
Ste 4
Jacksonville, AR 72076
Phone (501) 241-0008
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | Yes |
Addresses
Primary practice location
601 N 1St St Ste 4
Jacksonville, AR 72076-4139
Mailing address
60 S Sherman Rd
Russellville, AR 72802-1994
Other providers in Jacksonville, AR
- Katelyn Marie Berg
- Joanna L. Berry
- Ken Berry
- Marsha Moore Bertasi
- Big Chief Transport Service, LLC
- Abi Rachel Bishop-Taylor
- Cynthia Dale Blohm
- Blossom on Purpose Therapy & Consulting, LLC
- Gillian Blount
- Blue Sea Medical Corporation
All providers in Jacksonville, AR · Occupational Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 17, 2022. 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.