Individual provider Active NPI

Traci O'Neal Mourot, MS

  • Occupational Therapist
  • Conway, AR
National Provider Identifier
1447216304
Registry record updated Oct 1, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR799 Issued in AR
Practice address
1810 Warwick Hills LN
Conway, AR 72034-8548
Phone
(501) 208-3564
Fax
(501) 459-7214
NPI assigned
Apr 20, 2006
Last updated
Oct 1, 2026By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Oct 1, 2026

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 OTR799 AR Primary

Addresses

Primary practice location

1810 Warwick Hills LN
Conway, AR 72034-8548

Mailing address

1810 Warwick Hills LN
Conway, AR 72034-8548
Phone (501) 208-3564

Other identifiers 2

IdentifierTypeStateIssuer
148912742MedicaidAR
125692721MedicaidAR

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OTR799ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Pyramid Therapy Services, Inc Occupational Therapist Past Accepting new patients

Organizations & group practices 1

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": "1145491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1790812800000",
    "number": "1447216304",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1810 WARWICK HILLS LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348548",
            "telephone_number": "501-208-3564",
            "fax_number": "501-459-7214"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1810 WARWICK HILLS LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348548",
            "telephone_number": "501-208-3564",
            "fax_number": "501-459-7214"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MOUROT",
        "first_name": "TRACI",
        "middle_name": "O'NEAL",
        "name_prefix": "Mrs.",
        "credential": "MS",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2006-04-20",
        "last_updated": "2026-10-01",
        "certification_date": "2026-10-01",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR799",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "148912742",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "125692721",
            "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 Oct 1, 2026; 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.