Active NPI
Amanda Lauren McClain, MS, OT
- Occupational Therapist
- Rogers, AR
National Provider Identifier
1619129780
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2231
- Practice address
- 3625 W Chestnut St
Rogers, AR 72756-0351 - Phone
- (479) 246-0101
- Fax
- (470) 246-0303
- NPI assigned
- Oct 21, 2008
- 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 | OTR2231 | AR | Primary |
Addresses
Primary practice location
3625 W Chestnut St
Rogers, AR 72756-0351
Mailing address
17706 I-30 Ste 3
Benton, AR 72019-2930
Phone (501) 315-4414
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
- Credentials
- Master of Science
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1224547200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1619129780",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "17706 I-30 STE 3",
"city": "BENTON",
"state": "AR",
"postal_code": "720192930",
"telephone_number": "501-315-4414",
"fax_number": "501-315-3467"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3625 W CHESTNUT ST",
"city": "ROGERS",
"state": "AR",
"postal_code": "727560351",
"telephone_number": "479-246-0101",
"fax_number": "470-246-0303"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MCCLAIN",
"first_name": "AMANDA",
"middle_name": "LAUREN",
"credential": "MS, OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2008-10-21",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2231",
"primary": true
}
],
"identifiers": [],
"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 Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.