Active NPI
Jase Childers
- Occupational Therapy Assistant
- Rogers, AR
National Provider Identifier
1427775659
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT-A1501
- Practice address
- 3625 W Chestnut St
Rogers, AR 72756-0351 - Phone
- (479) 246-0101
- NPI assigned
- Oct 27, 2022
- Last updated
- Oct 27, 2022
- 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 Therapy Assistant | 224Z00000X | OT-A1501 | AR | Primary |
Addresses
Primary practice location
3625 W Chestnut St
Rogers, AR 72756-0351
Mailing address
17792 Bluffview Dr
Springdale, AR 72764-9293
Phone (870) 200-0037
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A1501 | AR | MD | Occupational Therapy Assistant |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1666828800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1666828800000",
"number": "1427775659",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17792 BLUFFVIEW DR",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727649293",
"telephone_number": "870-200-0037"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 W CHESTNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727560351",
"telephone_number": "479-246-0101"
}
],
"practiceLocations": [],
"basic": {
"last_name": "CHILDERS",
"first_name": "JASE",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2022-10-27",
"last_updated": "2022-10-27",
"certification_date": "2022-10-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A1501",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 27, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.