Active NPI
Denise Degraff, O.T.
- Occupational Therapist
- Siloam Springs, AR
National Provider Identifier
1558358416
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR189
- Practice address
- 500 S Mount Olive St
Suite 100
Siloam Springs, AR 72761-3602 - Phone
- (479) 524-6306
- Fax
- (479) 524-6096
- NPI assigned
- Oct 5, 2005
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR189 | AR | Primary |
| Occupational Therapist | 225X00000X | 700 | OK |
Addresses
Primary practice location
500 S Mount Olive St
Suite 100
Siloam Springs, AR 72761-3602
Mailing address
1356 Mimosa Lane
Fayetteville, AR 72704
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR189 | AR | MD | Occupational Therapist |
| 700 | OK | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1128470400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1189728000000",
"number": "1558358416",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1356 MIMOSA LANE",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "72704"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "500 S MOUNT OLIVE ST",
"address_2": "SUITE 100",
"city": "SILOAM SPRINGS",
"state": "AR",
"postal_code": "727613602",
"telephone_number": "479-524-6306",
"fax_number": "479-524-6096"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEGRAFF",
"first_name": "DENISE",
"name_prefix": "Ms.",
"credential": "O.T.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2005-10-05",
"last_updated": "2007-09-14",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR189",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "OK",
"license": "700",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Siloam Springs, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 14, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.