Vicky Lynn Theroux, OTR L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1902 Issued in AR

Practice address

18 County Road 458
Mountain Home, AR 72653-8212

Phone

(870) 425-5252

NPI assigned

Jan 17, 2007

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

• Ascent Acquisitions Corp-Cypdc

  • Developmentally Disabled Services Day Training Agency
  • Mountain Home, AR
  • NPI 1952434326
  NPD (past)

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

{
    "created_epoch": "1168992000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1183939200000",
    "number": "1407908833",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "RT 1 BOX 285 GLADDEN ST",
            "city": "WESTERN GROVE",
            "state": "AR",
            "postal_code": "72685",
            "telephone_number": "870-688-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COUNTY ROAD 458",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538212",
            "telephone_number": "870-425-5252"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THEROUX",
        "first_name": "VICKY",
        "middle_name": "LYNN",
        "name_prefix": "Ms.",
        "credential": "OTR L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2007-01-17",
        "last_updated": "2007-07-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Terkeurst Urology Clinic PA
• John S Terkeurst, M.D
• Megan Renee Terry, ANP
• The Evangelical Lutheran Good Samaritan Society
• The Garretson Clinic, P.a.
• Kristen Thiel
• Jill Lorraine Thitoff, APRN-CNP
• Meagan Thitoff, CNP
• Hailey Thomas
• Sarah D Thomas

• Occupational Therapist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 9, 2007; 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.