Organization Active NPI

Arkansas Occupational Therapy Services, Inc.

  • Occupational Therapist
  • Dover, AR
National Provider Identifier
1467660720
Registry record updated Aug 24, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1790 Issued in AR
Legal business name
ARKANSAS OCCUPATIONAL THERAPY SERVICES, INC.
Practice address
55 Virginia Dr
Dover, AR 72837-8999
Phone
(479) 264-6202
NPI assigned
May 18, 2007
Last updated
Aug 24, 2007By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 24, 2007

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

Authorized official

Name
Ms. Therese R. Graham, M.S., OTRLNPI 1275741530
Title
Ceo
Phone
(479) 264-6202

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 TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTR1790 AR Primary

Addresses

Primary practice location

55 Virginia Dr
Dover, AR 72837-8999

Mailing address

55 Virginia Dr
Dover, AR 72837-8999
Phone (479) 264-6202

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1179446400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1187913600000",
    "number": "1467660720",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "55 VIRGINIA DR",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728378999",
            "telephone_number": "479-264-6202"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 VIRGINIA DR",
            "city": "DOVER",
            "state": "AR",
            "postal_code": "728378999",
            "telephone_number": "479-264-6202"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS OCCUPATIONAL THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-18",
        "last_updated": "2007-08-24",
        "status": "A",
        "authorized_official_last_name": "GRAHAM",
        "authorized_official_first_name": "THERESE",
        "authorized_official_middle_name": "R.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "479-264-6202",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "M.S., OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1790",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Dover, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2007; 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.