Individual provider Active NPI

Cecil Chris Honaker III, O.T.

  • Occupational Therapist
  • Fort Smith, AR
National Provider Identifier
1407963267
Registry record updated Feb 10, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR853 Issued in AR
Practice address
4300 Regions Park Dr
Fort Smith, AR 72916-9373
Phone
(479) 274-6300
Fax
(479) 484-4664
NPI assigned
Aug 25, 2006
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2016

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 OTR853 AR Primary

Addresses

Primary practice location

4300 Regions Park Dr
Fort Smith, AR 72916-9373

Mailing address

PO Box 3528
Fort Smith, AR 72913-3528
Phone (479) 274-2000

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20070419000092 AR Practitioner - Occupational Therapist in Private Practice 5799880720 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1994
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Fort Smith Hand Therapy LLCGroup PAC ID 1759688492, 2 clinicians

Practice addresses (Care Compare)

6301 Hwy 45
Suite G
Fort Smith, AR 72916-8857
Phone (479) 226-2949

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR853ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Fort Smith Hand Therapy LLC Occupational Therapist CurrentSince Feb 22, 2016 Accepting new patients

Locations

6301 Highway 45
Ste G
Fort Smith, AR 72916
Phone (479) 226-2949

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1156464000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455062400000",
    "number": "1407963267",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 3528",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729133528",
            "telephone_number": "479-274-2000",
            "fax_number": "479-274-2194"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4300 REGIONS PARK DR",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729169373",
            "telephone_number": "479-274-6300",
            "fax_number": "479-484-4664"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HONAKER",
        "first_name": "CECIL",
        "middle_name": "CHRIS",
        "name_suffix": "III",
        "credential": "O.T.",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2006-08-25",
        "last_updated": "2016-02-10",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR853",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 2016; 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.

Verify at the official NPI Registry.