Individual provider Active NPI

Alexandra Robaus, COTA

  • Occupational Therapy Assistant
  • Harrison, AR
National Provider Identifier
1508689936
Registry record updated Nov 4, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A2071 Issued in AR
Practice address
521 N Willow St
Harrison, AR 72601-3518
Phone
(870) 280-3071
NPI assigned
Nov 4, 2024
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Nov 4, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 2021041799 MO
Occupational Therapy Assistant 224Z00000X OT-A2071 AR Primary

Addresses

Primary practice location

521 N Willow St
Harrison, AR 72601-3518

Mailing address

2671 US Highway 160
Walnut Shade, MO 65771-9212
Phone (417) 920-6514

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-A2071ARMDOccupational Therapy Assistant
2021041799MOMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Spot on Pediatric Therapy, LLC CurrentSince Nov 10, 2024 Accepting new patients

Locations

521 N Willow St
Harrison, AR 72601
Phone (870) 280-3071

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 and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1730678400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1730678400000",
    "number": "1508689936",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2671 US HIGHWAY 160",
            "city": "WALNUT SHADE",
            "state": "MO",
            "postal_code": "657719212",
            "telephone_number": "417-920-6514"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N WILLOW ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013518",
            "telephone_number": "870-280-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBAUS",
        "first_name": "ALEXANDRA",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-11-04",
        "last_updated": "2024-11-04",
        "certification_date": "2024-11-04",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "MO",
            "license": "2021041799",
            "primary": false
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A2071",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 4, 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.