Active NPI
Paige Riley
- Occupational Therapist
- Jonesboro, AR
National Provider Identifier
1548889173
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- Practice address
- 4502 Access Rd
Jonesboro, AR 72401-7665 - Phone
- (870) 897-1783
- NPI assigned
- Apr 14, 2020
- Last updated
- Apr 14, 2020
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | MO | Primary |
Addresses
Primary practice location
4502 Access Rd
Jonesboro, AR 72401-7665
Mailing address
4996 Aberdeen Rd
Jonesboro, AR 72405-8086
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2020004305 | Other | MO | LICENSE |
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | engagejonesboro@gmail.com | Direct |
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
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1586822400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1586822400000",
"number": "1548889173",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4996 ABERDEEN RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724058086"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4502 ACCESS RD",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724017665",
"telephone_number": "870-897-1783"
}
],
"practiceLocations": [],
"basic": {
"last_name": "RILEY",
"first_name": "PAIGE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2020-04-14",
"last_updated": "2020-04-14",
"certification_date": "2020-04-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "LICENSE",
"identifier": "2020004305",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "engagejonesboro@gmail.com",
"affiliation": "N",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "4996 Aberdeen Rd",
"city": "Jonesboro",
"state": "AR",
"country_code": "US",
"postal_code": "724058086",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": []
}Other providers in Jonesboro, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 14, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.