Individual provider Active NPI

Taylor Nicole Mann, COTA/L

  • Occupational Therapy Assistant
  • Conway, AR
National Provider Identifier
1497421796
Registry record updated Aug 18, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1748 Issued in AR
Practice address
1301 Museum Rd
Conway, AR 72032-4739
Phone
(501) 358-6535
NPI assigned
Aug 18, 2021
Last updated
Aug 18, 2021By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 18, 2021

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1748 AR Primary

Addresses

Primary practice location

1301 Museum Rd
Conway, AR 72032-4739

Mailing address

745 Danville Rd
Hot Springs, AR 71901-9417
Phone (501) 802-4225

Electronic endpoints 2

TypeEndpointUseAffiliation
Other URL therapy@reachtherapyservices.com
Other URL www.reachtherapyservices.com

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

State licenses

LicenseStateTypeSpecialty
OT-A1748ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Reach Therapy Services LLC CurrentSince Sep 20, 2022 Accepting new patients

Locations

1301 Museum Rd
Conway, AR 72032
Phone (501) 358-6535

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": "1629244800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1629244800000",
    "number": "1497421796",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "745 DANVILLE RD",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719019417",
            "telephone_number": "501-802-4225"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1301 MUSEUM RD",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720324739",
            "telephone_number": "501-358-6535"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "MANN",
        "first_name": "TAYLOR",
        "middle_name": "NICOLE",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2021-08-18",
        "last_updated": "2021-08-18",
        "certification_date": "2021-08-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1748",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "therapy@reachtherapyservices.com",
            "affiliation": "N",
            "address_1": "1301 Museum Rd",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720324739",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "www.reachtherapyservices.com",
            "affiliation": "N",
            "address_1": "1301 Museum Rd",
            "city": "Conway",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720324739",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 18, 2021; 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.