Randal Lee Scott, O.T.R.

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

OTR-1569 Issued in AR

Practice address

500 Tiger Blvd.
Bentonville, AR 72712-2011

Phone

(479) 254-5065

NPI assigned

Apr 19, 2007

Sex

Male

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

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.

• Bentonville Public Schools

  • Local Education Agency (LEA)
  • Bentonville, AR
  • NPI 1902941255
  NPD (past)
• Mobile Fees of Nwa

  • Speech-Language Pathologist
  • Fort Smith, AR
  • NPI 1275359788
  NPD (past)

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

{
    "created_epoch": "1176940800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1246924800000",
    "number": "1528285541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6508 HEARTH FALLS DR.",
            "city": "ROGERS",
            "state": "AR",
            "postal_code": "72758",
            "telephone_number": "479-422-7442"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "500 TIGER BLVD.",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727122011",
            "telephone_number": "479-254-5065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SCOTT",
        "first_name": "RANDAL",
        "middle_name": "LEE",
        "name_prefix": "Mr.",
        "credential": "O.T.R.",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2007-04-19",
        "last_updated": "2009-07-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR-1569",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "146648721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jennifer A Schroeder, MD
• Sarah Anne Schuette
• Madeline Schultz, DPT
• Madison Scott, SLP-A
• Morgan Scott
• Silena Scott, PHD, LPC
• Scott Daniel Scruton, CRNA
• Savannah Seals
• Vianka Sealy, MHPP
• Julie Sedlacek, PHARM.D.

• Pediatric Occupational Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 7, 2009; 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.