Jared Wyrick, COTA/L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A2050 Issued in AR

Practice address

1006 E Lincoln Ave
Searcy, AR 72143-7402

Phone

(501) 230-3100

Fax

(501) 882-9825

NPI assigned

Aug 15, 2024

Sex

Male

Sole proprietor

Yes

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

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 and National Provider Directory roles.

• Kidz Kan, LLC

  • Occupational Therapist
  • Beebe, AR
  • NPI 1013139401
  NPD (past)

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1609608942",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "130 UNDERHILL RD",
            "city": "BEEBE",
            "state": "AR",
            "postal_code": "720129751",
            "telephone_number": "501-230-3100",
            "fax_number": "501-882-9825"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1006 E LINCOLN AVE",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721437402",
            "telephone_number": "501-230-3100",
            "fax_number": "501-882-9825"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYRICK",
        "first_name": "JARED",
        "credential": "COTA/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A2050",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Airon Ann Wright-Cowles
• Ervin Eugene Wright II, PH.D.
• Olivia Wright, LMSW
• Alyssa Wurtz
• Todd B. Wyatt, D.M.D.
• Marvin Yarbrough, DNP
• Terrence R Yates, MD
• Yielding Counseling Center Inc
• Winter L Yielding, LPC
• Allee Yingling, O.D.

• Occupational Therapy Assistant in Searcy, AR
• Providers in Searcy, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 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.