Charles Jeffrey Edington, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1611 Issued in AR

Practice address

18 County Road 458
Mountain Home, AR 72653-8212

Phone

(870) 425-5252

Fax

(870) 425-5254

NPI assigned

Jan 12, 2007

Sex

Male

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Mr. Jeff Edington Other name

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Gross Therapy Services, Inc.

  • Physical Therapist
  • Mountain Home, AR
  • NPI 1033236468

  Occupational Therapist

  NPD
• Ascent Acquisitions Corp-Cypdc

  • Developmentally Disabled Services Day Training Agency
  • Mountain Home, AR
  • NPI 1952434326
  NPD (past)
• Physical Therapy Specialists of the Ozarks, LLC

  • Rehabilitation Clinic/Center
  • Mountain Home, AR
  • NPI 1538597646
  NPD (past)

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

{
    "created_epoch": "1168560000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1611187200000",
    "number": "1609926229",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "48 BRECKENRIDGE CT",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726539238",
            "telephone_number": "870-656-8567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "18 COUNTY ROAD 458",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726538212",
            "telephone_number": "870-425-5252",
            "fax_number": "870-425-5254"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "EDINGTON",
        "first_name": "CHARLES",
        "middle_name": "JEFFREY",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-12",
        "last_updated": "2021-01-21",
        "certification_date": "2021-01-21",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1611",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142156721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "JEFF",
            "last_name": "EDINGTON",
            "prefix": "MR.",
            "credential": "OTR",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

• Valerie Each
• Ear, Nose & Throat Associates of Mountain Home, PA
• Susan E Eckley
• Erika Beth Eckman, D.C.
• Edington Enterprises Inc
• Dianna Leigh Edmonds, COTA
• Alyssa Edwards, ECDS
• John Gregory Elders, MD
• Jordan Frey Eldridge, CRNA
• Louis Woodrow Elkins Jr., M.D.

• Occupational Therapist in Mountain Home, AR
• Providers in Mountain Home, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2021; 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.