Active NPI
Elmira Sims, OT
- Occupational Therapist
- Conway, AR
National Provider Identifier
1629129754
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR443
- Practice address
- 505 Dave Ward Drive
Suite 3
Conway, AR 72032 - Phone
- (501) 730-0303
- Fax
- (501) 730-0313
- NPI assigned
- Jan 16, 2007
- Sex
- Female
- Sole proprietor
- Yes
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 | OTR443 | AR | Primary |
Addresses
Primary practice location
505 Dave Ward Drive
Suite 3
Conway, AR 72032
Mailing address
2725 Glowhaven Dr
Conway, AR 72034
Phone (501) 513-9795
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 |
|---|---|---|---|
| OTR443 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168905600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1183852800000",
"number": "1629129754",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2725 GLOWHAVEN DR",
"city": "CONWAY",
"state": "AR",
"postal_code": "72034",
"telephone_number": "501-513-9795",
"fax_number": "501-730-0313"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "505 DAVE WARD DRIVE",
"address_2": "SUITE 3",
"city": "CONWAY",
"state": "AR",
"postal_code": "72032",
"telephone_number": "501-730-0303",
"fax_number": "501-730-0313"
}
],
"practiceLocations": [],
"basic": {
"last_name": "SIMS",
"first_name": "ELMIRA",
"credential": "OT",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2007-01-16",
"last_updated": "2007-07-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR443",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Conway, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.