Active NPI
Kristi Sorg
- Occupational Therapist
- Pocahontas, AR
National Provider Identifier
1407674823
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1267
- Practice address
- 2520 Thomasville Rd
Pocahontas, AR 72455-1203 - Phone
- (870) 248-1119
- NPI assigned
- Oct 3, 2024
- Last updated
- Oct 3, 2024
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR1267 | AR | Primary |
Addresses
Primary practice location
2520 Thomasville Rd
Pocahontas, AR 72455-1203
Mailing address
2520 Thomasville Rd
Pocahontas, AR 72455-1203
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 1997
- Medicare assignment
- Accepts the Medicare-approved amount as payment in full
- Group practices
Practice addresses (Care Compare)
2520 Thomasville Rd
Pocahontas, AR 72455-1203
Phone (870) 248-1119
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1267 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Gross Therapy Services, Inc. | Single Specialty | Current | Accepting new patients |
| Therapy Works, Inc. | Single Specialty | Past | Accepting new patients |
Locations
567 Highway 67 S
Ste B
Pocahontas, AR 72455
Phone (870) 248-1119
1006 W Main St
Walnut Ridge, AR 72476
Phone (870) 539-9989
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1727913600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1727913600000",
"number": "1407674823",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 THOMASVILLE RD",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724551203"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2520 THOMASVILLE RD",
"city": "POCAHONTAS",
"state": "AR",
"postal_code": "724551203",
"telephone_number": "870-248-1119"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SORG",
"first_name": "KRISTI",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2024-10-03",
"last_updated": "2024-10-03",
"certification_date": "2024-10-03",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1267",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Pocahontas, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 3, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.