Active NPI
Suzanne Kathleen Baker, OT
- Pediatric Occupational Therapist
- Little Rock, AR
National Provider Identifier
1457501140
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR356
- Practice address
- 5312 W 10TH St
Little Rock, AR 72204-1852 - Phone
- (501) 280-9195
- Fax
- (501) 663-7261
- NPI assigned
- Sep 30, 2008
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR356 | AR | Primary |
Addresses
Primary practice location
5312 W 10TH St
Little Rock, AR 72204-1852
Mailing address
67 Kings Hwy
Conway, AR 72032-9440
Phone (501) 329-5416
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| OTR356 | Other | AR | ARKANSAS STATER MEDICAL BOARD |
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 |
|---|---|---|---|
| OTR356 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Archild, Inc | 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 and National Provider Directory roles.
-
- Mental Illness Community Based Residential Treatment Facility
- Little Rock, AR
- NPI 1851503460
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1222732800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1222732800000",
"number": "1457501140",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "67 KINGS HWY",
"city": "CONWAY",
"state": "AR",
"postal_code": "720329440",
"telephone_number": "501-329-5416"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5312 W 10TH ST",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722041852",
"telephone_number": "501-280-9195",
"fax_number": "501-663-7261"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BAKER",
"first_name": "SUZANNE",
"middle_name": "KATHLEEN",
"name_prefix": "Mrs.",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-09-30",
"last_updated": "2008-09-30",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR356",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARKANSAS STATER MEDICAL BOARD",
"identifier": "OTR356",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 30, 2008; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.