Individual provider Active NPI

Maysa Linn Mansfield

  • Occupational Therapist
  • Mountain Home, AR
National Provider Identifier
1457058703
Registry record updated Feb 7, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT2023-003 Issued in AR
Practice address
794 Pebblecreek Dr
Mountain Home, AR 72653-5782
Phone
(870) 421-2148
NPI assigned
Feb 7, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 7, 2023

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 OT2023-003 AR Primary

Addresses

Primary practice location

794 Pebblecreek Dr
Mountain Home, AR 72653-5782

Mailing address

11235 State Highway 181
Tecumseh, MO 65760-8285
Phone (870) 736-2002

Other practice location 1

707 N Cardinal Dr Ste 4
Mountain Home, AR 72653-3274
Phone (870) 404-0270

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230222002844 AR Practitioner - Occupational Therapist in Private Practice 2365815321 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Missouri Medical College, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
North Arkansas Speech Services LLCGroup PAC ID 9133545759, 7 clinicians

Practice addresses (Care Compare)

230 Hwy 5 N
Suite 10
Mountain Home, AR 72653-3013
Phone (870) 404-0270

75 Hwy 62 412
Suite J
Ash Flat, AR 72513-9629
Phone (870) 705-4021

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
North Arkansas Speech Services, LLC Occupational Therapist CurrentSince Feb 9, 2023 Accepting new patients

Locations

75 Highway 62 412
Ste J
Ash Flat, AR 72513
Phone (870) 206-9430

230 Highway 5 N
Ste 10
Mountain Home, AR 72653
Phone (870) 232-0900

400 S College St
Ste 3
Mountain Home, AR 72653
Phone (870) 404-0270

707 N Cardinal Dr
Ste 4
Mountain Home, AR 72653
Phone (870) 404-0270

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1675728000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675728000000",
    "number": "1457058703",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11235 STATE HIGHWAY 181",
            "city": "TECUMSEH",
            "state": "MO",
            "postal_code": "657608285",
            "telephone_number": "870-736-2002"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "794 PEBBLECREEK DR",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726535782",
            "telephone_number": "870-421-2148"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "707 N Cardinal Dr Ste 4",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726533274",
            "country_code": "US",
            "telephone_number": "870-404-0270",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "MANSFIELD",
        "first_name": "MAYSA",
        "middle_name": "LINN",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-02-07",
        "last_updated": "2023-02-07",
        "certification_date": "2023-02-06",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OT2023-003",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 7, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.