Kelley Blackwell, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3065 Issued in AR

Practice address

42 Helter Rd
Pocahontas, AR 72455-1359

Phone

(870) 248-1448

NPI assigned

Jul 26, 2013

Last updated

Aug 27, 2024By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

Locations

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.

• Higginbotham Therapy Providers LLC

  • Speech-Language Pathologist
  • Pocahontas, AR
  • NPI 1659676443
  NPD
• Its Support Services LLC

  • Speech-Language Pathologist
  • Pocahontas, AR
  • NPI 1962213389

  Occupational Therapist

  NPD

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

{
    "created_epoch": "1374796800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1724716800000",
    "number": "1467894816",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2007 OLD COUNTY RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724554136",
            "telephone_number": "870-248-1448"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "42 HELTER RD",
            "city": "POCAHONTAS",
            "state": "AR",
            "postal_code": "724551359",
            "telephone_number": "870-248-1448"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BLACKWELL",
        "first_name": "KELLEY",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2013-07-26",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225200000X",
            "taxonomy_group": "",
            "desc": "Physical Therapy Assistant",
            "state": "AR",
            "license": "2751",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Amanda Jane Billingsley, APRN, FNP
• Black River Anesthesia, PLC
• Black River Area Development Corp. Senior Citizens Program
• Black River Area Development Corp. Senior Citizens Program
• Stephen K. Blackburn, M.D.
• Janice Kathryn Bonner, LCSW
• Amy Marie Bounds, QBHP
• Amy D. Bradley, D.C.
• Kyla Brandt, OTA
• Vivian Lea Brengard, R.D.

• Occupational Therapist in Pocahontas, AR
• Providers in Pocahontas, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 2024; 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.