Organization Active NPI

South West Pediatric Therapy

  • Occupational Therapy Assistant
  • Hot Springs, AR
National Provider Identifier
1457090466
Registry record updated May 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
Legal business name
SOUTH WEST PEDIATRIC THERAPY
Practice address
600 Main St Ste L
Hot Springs, AR 71913-4964
Phone
(501) 232-7552
NPI assigned
May 31, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 31, 2022

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Mrs. Melody Ann Hall, COTA/LNPI 1902039043
Title
Owner
Phone
(501) 844-0453

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy AssistantGroup: 193200000X MULTI-SPECIALTY GROUP 224Z00000X Primary

Addresses

Primary practice location

600 Main St Ste L
Hot Springs, AR 71913-4964

Mailing address

155 San Felipe Rd
Hot Springs, AR 71909-9726
Phone (501) 844-0453

Other identifiers 1

IdentifierTypeStateIssuer
178007721MedicaidAR

National Provider Directory

National Provider Directory

Locations

600 Main St
Ste L
Hot Springs National Park, AR 71913
Phone (501) 232-7552

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1653955200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1653955200000",
    "number": "1457090466",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "155 SAN FELIPE RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719099726",
            "telephone_number": "501-844-0453"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "600 MAIN ST STE L",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719134964",
            "telephone_number": "501-232-7552"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SOUTH WEST PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-05-31",
        "last_updated": "2022-05-31",
        "certification_date": "2022-05-31",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "MELODY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-844-0453",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "COTA/L"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178007721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Hot Springs, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 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.

Verify at the official NPI Registry.