Marc S Willey, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR792 Issued in AR

Practice address

4301 West Markham
Little Rock, AR 72205

Phone

(501) 686-6353

NPI assigned

Sep 23, 2016

Last updated

Mar 4, 2024By the provider in NPPES

Sex

Male

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

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

{
    "created_epoch": "1474588800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709510400000",
    "number": "1407305196",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2945 BAXTER DRIVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4301 WEST MARKHAM",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "72205",
            "telephone_number": "501-686-6353"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "600 Autumn Rd",
            "address_purpose": "LOCATION",
            "city": "Little Rock",
            "state": "AR",
            "postal_code": "722113606",
            "country_code": "US",
            "telephone_number": "501-320-7777",
            "fax_number": "501-320-7975",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "4621 Stockton Dr Ste 100",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "72217",
            "country_code": "US",
            "telephone_number": "501-526-5451",
            "fax_number": "501-526-5823",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "WILLEY",
        "first_name": "MARC",
        "middle_name": "S",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2016-09-23",
        "last_updated": "2024-03-04",
        "certification_date": "2024-03-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR792",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AR",
            "license": "OTR792",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Shari Willding, LPE
• Tiffany Willenberg, MSN, APRN, AGNP-C
• Benjamin Michael Willett, PA
• Jordan Lindsay Willett
• Jennifer Willey, OTR/L
• Sierra Willey
• William Knight DDS (Knight Dental Care)
• William M Flurry
• William N. Jones, M.D., P.a.
• Williams Chiropractic Care

• Occupational Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.