Individual provider Active NPI

Robbin Hall, MS, OTR/L

  • Occupational Therapist
  • Coppell, TX
National Provider Identifier
1457505406
Registry record updated Jun 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR-1868 Issued in AR
Practice address
8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630
Phone
(469) 759-4646
NPI assigned
Nov 4, 2008
Last updated
Jun 25, 2019By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jun 25, 2019

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 73777 FL
Occupational Therapist 225X00000X OTR-1868 AR Primary

Addresses

Primary practice location

8840 Cypress Waters Blvd Ste 300
Coppell, TX 75019-4630

Mailing address

1105 Deer St Ste 9
Conway, AR 72032-5450
Phone (501) 327-5883

Other practice location 1

1105 Deer St Ste 9
Conway, AR 72032-5450
Phone (501) 327-5883 ext. 29

Other identifiers 1

IdentifierTypeStateIssuer
152002721MedicaidAR

Other names 1

  • Robbin Mitchell Former name

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
OTR-1868ARMDOccupational Therapist
73777FLMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Independent Living Services 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": "1225756800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1561420800000",
    "number": "1457505406",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1105 DEER ST STE 9",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720325450",
            "telephone_number": "501-327-5883"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8840 CYPRESS WATERS BLVD STE 300",
            "city": "COPPELL",
            "state": "TX",
            "postal_code": "750194630",
            "telephone_number": "469-759-4646"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1105 Deer St Ste 9",
            "address_purpose": "LOCATION",
            "city": "Conway",
            "state": "AR",
            "postal_code": "720325450",
            "country_code": "US",
            "telephone_number": "501-327-5883 x29",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "HALL",
        "first_name": "ROBBIN",
        "credential": "MS, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-11-04",
        "last_updated": "2019-06-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "FL",
            "license": "73777",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR-1868",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "152002721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ROBBIN",
            "last_name": "MITCHELL",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Coppell, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 25, 2019; 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.