Individual provider Active NPI

Sara Kirchner, COTA/L

  • Contractor
  • Little Rock, AR
National Provider Identifier
1609217918
Registry record updated Jul 22, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
ContractorTaxonomy code 171W00000X
License
O-T1320 Issued in AR
Practice address
65 River Ridge Rd
Little Rock, AR 72227-1525
Phone
(501) 837-0028
Fax
(501) 588-3446
NPI assigned
Jul 15, 2013
Last updated
Jul 22, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 22, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Contractor 171W00000X O-T1320 AR Primary
Occupational Therapy Assistant 224Z00000X

Addresses

Primary practice location

65 River Ridge Rd
Little Rock, AR 72227-1525

Mailing address

9288 Mars Hill Rd
Bauxite, AR 72011-8024
Phone (501) 849-8644

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

State licenses

LicenseStateTypeSpecialty
O-T1320ARMDContractor

Practice roles

OrganizationSpecialtyStatusNew patients
Equinovate Therapy Services, Inc. Occupational Therapy Assistant CurrentSince Jul 28, 2024 Accepting new patients
Central Arkansas Therapy, LLC Past Accepting new patients

Organizations & group practices 2

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.

NPI Registry JSON

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

{
    "created_epoch": "1373846400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721606400000",
    "number": "1609217918",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9288 MARS HILL RD",
            "city": "BAUXITE",
            "state": "AR",
            "postal_code": "720118024",
            "telephone_number": "501-849-8644"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "65 RIVER RIDGE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722271525",
            "telephone_number": "501-837-0028",
            "fax_number": "501-588-3446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "KIRCHNER",
        "first_name": "SARA",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2013-07-15",
        "last_updated": "2024-07-22",
        "certification_date": "2024-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "171W00000X",
            "taxonomy_group": "",
            "desc": "Contractor",
            "state": "AR",
            "license": "O-T1320",
            "primary": true
        },
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2024; 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.