Individual provider Active NPI

Allison Grace Levengood, OT

  • Occupational Therapist
  • Arkadelphia, AR
National Provider Identifier
1407511769
Registry record updated Apr 25, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3593 Issued in AR
Practice address
702 Hickory St
Arkadelphia, AR 71923-5040
Phone
(870) 464-1337
NPI assigned
Nov 2, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Apr 25, 2023

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR3593 AR Primary

Addresses

Primary practice location

702 Hickory St
Arkadelphia, AR 71923-5040

Mailing address

702 Hickory St
Arkadelphia, AR 71923-5040
Phone (870) 464-1337

Other names 1

  • Allison Grace Fowler Other 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
OTR3593ARMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1635811200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1682380800000",
    "number": "1407511769",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "702 HICKORY ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235040",
            "telephone_number": "870-464-1337"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "702 HICKORY ST",
            "city": "ARKADELPHIA",
            "state": "AR",
            "postal_code": "719235040",
            "telephone_number": "870-464-1337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEVENGOOD",
        "first_name": "ALLISON",
        "middle_name": "GRACE",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-11-02",
        "last_updated": "2023-04-25",
        "certification_date": "2023-04-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3593",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ALLISON",
            "last_name": "FOWLER",
            "middle_name": "GRACE",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Arkadelphia, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 25, 2023; 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.