Organization Active NPI

Edington Enterprises Inc

  • Occupational Therapist
  • Mountain Home, AR
National Provider Identifier
1407053283
Registry record updated Jun 24, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1611 Issued in AR
Legal business name
EDINGTON ENTERPRISES INC
Practice address
504 Powers St
Mountain Home, AR 72653-2925
Phone
(870) 424-9292
Fax
(870) 425-5254
NPI assigned
Jun 27, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 24, 2008

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

Authorized official

Name
Charles Jeffrey Edington, OTRL
Title
Occupational Therapist
Phone
(870) 424-9292

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTR1611 AR Primary

Addresses

Primary practice location

504 Powers St
Mountain Home, AR 72653-2925

Mailing address

504 Powers St
Mountain Home, AR 72653-2925
Phone (870) 424-9292

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1182902400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1214265600000",
    "number": "1407053283",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 POWERS ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532925",
            "telephone_number": "870-424-9292",
            "fax_number": "870-425-5254"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 POWERS ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726532925",
            "telephone_number": "870-424-9292",
            "fax_number": "870-425-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EDINGTON ENTERPRISES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-06-27",
        "last_updated": "2008-06-24",
        "status": "A",
        "authorized_official_last_name": "EDINGTON",
        "authorized_official_first_name": "CHARLES",
        "authorized_official_middle_name": "JEFFREY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "870-424-9292",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1611",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2008; 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.