NPIMap

Organization Active NPI

Pyramid Therapy Services, Inc

  • Occupational Therapist
  • Conway, AR
National Provider Identifier
1417067935
Registry record updated Apr 8, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR799 Issued in AR
Legal business name
PYRAMID THERAPY SERVICES, INC
Practice address
1810 Warwick Hills Lane
Conway, AR 72034
Phone
(501) 208-3564
Fax
(501) 336-8235
NPI assigned
Aug 30, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 8, 2010

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

Authorized official

Name
Mrs. Traci Mourot, MS, OTR/LNPI 1447216304
Title
President
Phone
(501) 208-3564

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
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTR799 AR Primary

Addresses

Primary practice location

1810 Warwick Hills Lane
Conway, AR 72034

Mailing address

PO Box 11407
Conway, AR 72034-0025
Phone (501) 208-3564

Other identifiers 2

IdentifierTypeStateIssuer
5C127OtherARBLUE CROSS BLUE SHIELD
148912742MedicaidAR

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 2

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

NPI Registry JSON

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

{
    "created_epoch": "1156896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1270684800000",
    "number": "1417067935",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 11407",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720340025",
            "telephone_number": "501-208-3564",
            "fax_number": "501-336-8235"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WARWICK HILLS LANE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-208-3564",
            "fax_number": "501-336-8235"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PYRAMID THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-30",
        "last_updated": "2010-04-08",
        "status": "A",
        "authorized_official_last_name": "MOUROT",
        "authorized_official_first_name": "TRACI",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "501-208-3564",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5C127",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148912742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 8, 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.