Kristen Renee Pounders

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR2764 Issued in AR

Practice address

1720 Wysteria LN
Conway, AR 72034

Phone

(501) 697-5091

NPI assigned

Nov 3, 2014

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Specialty

Occupational Therapist in Private Practice

Education

Other, 2014

Medicare assignment

Accepts the Medicare-approved amount as payment in full

Group practices

Stein Ancillary Services, LLCGroup PAC ID 1153374046, 11 clinicians

Practice addresses (Care Compare)

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.

• Stein Ancillary Services, LLC

  • Rehabilitation Practitioner
  • Fort Smith, AR
  • NPI 1073591582

  Occupational Therapist

  Medicare reassignment Care Compare group NPD

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

{
    "created_epoch": "1414972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721260800000",
    "number": "1558766568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1720 WYSTERIA LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348444",
            "telephone_number": "501-697-5091"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1720 WYSTERIA LN",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "72034",
            "telephone_number": "501-697-5091"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "POUNDERS",
        "first_name": "KRISTEN",
        "middle_name": "RENEE",
        "name_prefix": "Mrs.",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2014-11-03",
        "last_updated": "2024-07-18",
        "certification_date": "2024-07-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2764",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Ronnie Pope, RECOVERY ASSISTANT
• Joshua C Post, M.D.
• Linda Christine Post, APRN
• Posture Store
• Karilynn Alana Potthast
• Bridgette J Powell, MSN, PMHNP-BC
• Isabella Rose Powell
• Quincey Powell
• Rebecca Powell, APRN
• Power Spine & Sport PA

• Occupational Therapist in Conway, AR
• Providers in Conway, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.