Angela J Bishop

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OT2017-017 Issued in AR

Practice address

3605 College Ave
Conway, AR 72034-7377

Phone

(501) 327-2235

Fax

(501) 327-1601

NPI assigned

Aug 29, 2017

Last updated

Aug 29, 2017By 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 1

Addresses

Other names 1

• Angela J Holt Former name

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

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.

• River Valley Therapy & Sports Medicine Inc

  • Physical Therapist
  • Russellville, AR
  • NPI 1619925732

  Occupational Therapist

  Medicare reassignment NPD
• Maumelle Physical Therapy, Inc.

  dba McMaster Physical Therapy

  • Physical Therapist
  • Conway, AR
  • NPI 1487615779

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1503964800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1503964800000",
    "number": "1467979427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2100 W MAIN ST",
            "city": "RUSSELLVILLE",
            "state": "AR",
            "postal_code": "728012758",
            "telephone_number": "479-968-2525",
            "fax_number": "479-968-2538"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3605 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720347377",
            "telephone_number": "501-327-2235",
            "fax_number": "501-327-1601"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BISHOP",
        "first_name": "ANGELA",
        "middle_name": "J",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2017-08-29",
        "last_updated": "2017-08-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OT2017-017",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "ANGELA",
            "last_name": "HOLT",
            "middle_name": "J",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

• Olivia Grace Bird
• Birth by Design Birth Services
• Birth Roots, LLC
• Lauren Bisbee, MHPP
• Brandye Leigh Bisek, APRN
• Elizabeth Bishop
• Jennifer Evins Bishop, M.D.
• Kaylee Nicole Bishop
• Kaylie Bishop, RN
• Kaleb Andrew Bivens, LMSW

• Occupational Therapist in Conway, AR
• Providers in Conway, 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 29, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.