NPIMap

Organization Active NPI

LPG, Inc.

  • Pediatric Occupational Therapist
  • Fort Smith, AR
National Provider Identifier
1487057808
Registry record updated Aug 26, 2015
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
1561 Issued in AR
Legal business name
LPG, INC.
Practice address
4516 Rogers Ave
Suite B-5
Fort Smith, AR 72903-3147
Phone
(479) 782-1444
Fax
(479) 782-1477
NPI assigned
Sep 30, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2015

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

Authorized official

Name
Mrs. Jennifer Lynn Marley, OTR/LNPI 1922159904
Title
Co-Owner
Phone
(479) 782-1444

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 2251P0200X 2419 AR
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X 1561 AR Primary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1140 AR

Addresses

Primary practice location

4516 Rogers Ave
Suite B-5
Fort Smith, AR 72903-3147

Mailing address

4516 Rogers Ave
Suite B-5
Fort Smith, AR 72903-3147
Phone (479) 782-1444

Other identifiers 1

IdentifierTypeStateIssuer
205194742MedicaidAR

National Provider Directory

National Provider Directory

Locations

4516 Rogers Ave
Ste B5
Fort Smith, AR 72903
Phone (479) 782-1444

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1412035200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1440547200000",
    "number": "1487057808",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 ROGERS AVE",
            "address_2": "SUITE B-5",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033147",
            "telephone_number": "479-782-1444",
            "fax_number": "479-782-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 ROGERS AVE",
            "address_2": "SUITE B-5",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033147",
            "telephone_number": "479-782-1444",
            "fax_number": "479-782-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LPG, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-30",
        "last_updated": "2015-08-26",
        "status": "A",
        "authorized_official_last_name": "MARLEY",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CO-OWNER",
        "authorized_official_telephone_number": "479-782-1444",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "2419",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "1561",
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1140",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "205194742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2015; 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.