Kelsey Edwards, COTA/L
Individual provider Active NPI Occupational Therapy Assistant · Fort Smith, AR
NPI 1548064009 · NPPES record last updated Apr 3, 2025
Key facts
- NPI
- 1548064009
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapy Assistant 224Z00000X
- License
- OT-A2112 (AR)
- Practice address
- 6301 Highway 45 Ste B
Fort Smith, AR 72916-8857 - Phone
- (479) 322-0546
- NPI assigned
- Apr 3, 2025
- Sex
- Female
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A2112 | AR | MD | Occupational Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OT-A2112 | AR | Yes |
Addresses
Primary practice location
6301 Highway 45 Ste B
Fort Smith, AR 72916-8857
Mailing address
1813 W Bryan St
Paris, AR 72855-4609
Phone (479) 763-5990
Other providers in Fort Smith, AR
- Cindy Lee Edge
- Debra Edgeman
- Braci Edmondson
- Cheryl Lee Edwards
- Gary S Edwards
- Lindsey Edwards
- Logan Elise Edwards
- Maxren Edwards
- Miranda Nicole Edwards
- Sara Mariella Edwards
All providers in Fort Smith, AR · Occupational Therapy Assistant in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Apr 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.