Individual provider Active NPI

Taylor Guthrie, OTR/L

  • Occupational Therapist
  • Fayetteville, AR
National Provider Identifier
1417316597
Registry record updated Jun 6, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2758 E Millennium PL
Fayetteville, AR 72703-4798
Phone
(479) 283-4637
NPI assigned
Feb 17, 2016
Last updated
Jun 6, 2019By the provider in NPPES
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jun 6, 2019

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 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

Enrollment IDStateProvider typePAC IDDetails
I20211005002688 AR Practitioner - Occupational Therapist in Private Practice 5890193882 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
All About Therapy, LLC CurrentSince Jun 30, 2021 Accepting new patients
Arkansas Regional Therapy Services, LLC PastSince Jun 16, 2015 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.

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.

Verify at the official NPI Registry.