NPIMap

Organization Active NPI

Cross Therapy Services, LTD

  • Pediatric Occupational Therapist
  • Fayetteville, AR
National Provider Identifier
1407964802
Registry record updated Oct 26, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTR660 Issued in AR
Legal business name
CROSS THERAPY SERVICES, LTD
Practice address
48 W Colt Square Dr
Fayetteville, AR 72703-2813
Phone
(479) 582-2740
Fax
(479) 582-2746
NPI assigned
Aug 26, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2010

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

Authorized official

Name
Mrs. Melinda E Lunn, OTR/LNPI 1225149768
Title
Owner/President
Phone
(479) 582-2740

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193400000X MULTIPLE SINGLE SPECIALTY GROUP 225XP0200X OTR660 AR Primary

Addresses

Primary practice location

48 W Colt Square Dr
Fayetteville, AR 72703-2813

Mailing address

3398 E Canterbury Cir
Fayetteville, AR 72701-2862
Phone (479) 251-0192

Other identifiers 2

IdentifierTypeStateIssuer
133060742MedicaidAR
5C787OtherARBCBS

National Provider Directory

National Provider Directory

Locations

48 W Colt Square Dr
Fayetteville, AR 72703
Phone (479) 582-2740

Practitioners & affiliated clinicians

Practitioners 29

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

View all 29

NPI Registry JSON

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

{
    "created_epoch": "1156550400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1288051200000",
    "number": "1407964802",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3398 E CANTERBURY CIR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727012862",
            "telephone_number": "479-251-0192",
            "fax_number": "479-582-2746"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 W COLT SQUARE DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727032813",
            "telephone_number": "479-582-2740",
            "fax_number": "479-582-2746"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CROSS THERAPY SERVICES, LTD",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-26",
        "last_updated": "2010-10-26",
        "status": "A",
        "authorized_official_last_name": "LUNN",
        "authorized_official_first_name": "MELINDA",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "479-582-2740",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR660",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "133060742",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5C787",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2010; 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.