Active NPI
Taylor Guthrie, OTR/L
- Occupational Therapist
- Fayetteville, AR
National Provider Identifier
1417316597
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 2758 E Millennium PL
Fayetteville, AR 72703-4798 - Phone
- (479) 283-4637
- NPI assigned
- Feb 17, 2016
- Last updated
- Jun 6, 2019
- Sex
- Male
- 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 | NU | Primary |
Addresses
Primary practice location
2758 E Millennium PL
Fayetteville, AR 72703-4798
Mailing address
9900 Meandering Way
Fort Smith, AR 72903-5734
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| All About Therapy, LLC | Current | Accepting new patients | |
| Arkansas Regional Therapy Services, LLC | Past | Accepting new patients | |
| Liftoff Pediatric Therapy Services | Occupational Therapist | Past | Accepting new patients |
Locations
2611 E Heritage Pkwy
Ste 3
Farmington, AR 72730
Phone (479) 334-0014
1100 Division St
Ste 3
Prairie Grove, AR 72753
Phone (479) 334-0014
Organizations & group practices 3
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.
-
- Clinic/Center
- Prairie Grove, AR
- NPI 1548807944
-
- Occupational Therapist
- Fort Smith, AR
- NPI 1215598909
-
- Speech-Language Pathologist
- Fayetteville, AR
- NPI 1093958654
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1455667200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1559779200000",
"number": "1417316597",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "9900 MEANDERING WAY",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729035734"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2758 E MILLENNIUM PL",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727034798",
"telephone_number": "479-283-4637"
}
],
"practiceLocations": [],
"basic": {
"last_name": "GUTHRIE",
"first_name": "TAYLOR",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2016-02-17",
"last_updated": "2019-06-06",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"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 Jun 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.