Active NPI
Meagan Leigh Mullins, OTRL
- Occupational Therapist
- Rogers, AR
National Provider Identifier
1609889344
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1786
- Practice address
- 1101 Horsebarn Rd
Rogers, AR 72758-8237 - Phone
- (479) 271-4170
- Fax
- (479) 271-8095
- NPI assigned
- Aug 14, 2006
- Last updated
- May 26, 2010
- 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR1786 | AR | Primary |
Addresses
Primary practice location
1101 Horsebarn Rd
Rogers, AR 72758-8237
Mailing address
PO Box 1608
Fayetteville, AR 72702-1608
Phone (479) 587-3130
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y570 | Other | AR | BCBS |
| P00363343 | Other | AR | RAILROAD MEDICARE NUMBER |
| 14835071 | Medicaid | AR |
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 |
|---|---|---|---|
| OTR1786 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozark Orthopaedics, P.a. | Past | Accepting new patients | |
| Ozark Orthopaedics, P.a. | 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.
-
dba Ozark Orthopaedics
- Orthopaedic Surgery Physician
- Bentonville, AR
- NPI 1235573577
-
dba Ozark Orthopaedics
- Orthopaedic Surgery Physician
- Siloam Springs, AR
- NPI 1649614231
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1155513600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1274832000000",
"number": "1609889344",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1608",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727021608",
"telephone_number": "479-587-3130"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1101 HORSEBARN RD",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588237",
"telephone_number": "479-271-4170",
"fax_number": "479-271-8095"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MULLINS",
"first_name": "MEAGAN",
"middle_name": "LEIGH",
"name_prefix": "Mrs.",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2006-08-14",
"last_updated": "2010-05-26",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1786",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5Y570",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "RAILROAD MEDICARE NUMBER",
"identifier": "P00363343",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "14835071",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 26, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.