Ashton Pratt, OTR/L

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

License

2019004744 Issued in MO

Practice address

1601 Greenhouse Rd
Bentonville, AR 72713-9292

Phone

(479) 795-1260

Fax

(479) 795-1261

NPI assigned

Apr 16, 2019

Last updated

Apr 16, 2019By the provider in NPPES

Sex

Female

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

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Imagine Occupational Therapy Services

  dba Imagine Pediatric Therapies

  • Occupational Therapist
  • Bentonville, AR
  • NPI 1124241120
  NPD (past)

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

{
    "created_epoch": "1555372800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1555372800000",
    "number": "1558924563",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1601 GREENHOUSE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139292",
            "telephone_number": "479-795-1260",
            "fax_number": "479-795-1261"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1601 GREENHOUSE RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727139292",
            "telephone_number": "479-795-1260",
            "fax_number": "479-795-1261"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "3222 John Duffy Dr",
            "address_purpose": "LOCATION",
            "city": "Joplin",
            "state": "MO",
            "postal_code": "648041569",
            "country_code": "US",
            "telephone_number": "417-621-0175",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "PRATT",
        "first_name": "ASHTON",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-04-16",
        "last_updated": "2019-04-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "MO",
            "license": "2019004744",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MISSOURI STATE LICENSE OTR",
            "identifier": "2019004744",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Chealsey Kay Powell
• Christina Powell
• Nicholas Powell, MHPP
• Leah Rachel Powers, MHP/LAC
• McKenzie Powlison
• Preferred Family Healthcare Inc (Decision Point)
• Premier Aesthetics, PLLC (Premier Aesthetics)
• Premier Dermatology & Skin Renewal Center
• Premier Dermatology Services PLLC (Premier Dermatology & Aesthetics)
• Premiere Physical Therapy and Sports Rehab LLC

• 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 Apr 16, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.