Lora Rebecca Gibson, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

3380 Issued in AR

Practice address

1900 Aldersgate Rd
Little Rock, AR 72205-6620

Phone

(501) 821-5459

NPI assigned

Aug 19, 2008

Sex

Female

Sole proprietor

No

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

Specialties & licenses 2

Addresses

Other identifiers 2

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.

• Friendship Community Care Inc.

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Russellville, AR
  • NPI 1528144318
  NPD (past)

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

{
    "created_epoch": "1219104000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1675209600000",
    "number": "1629225818",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1900 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056620",
            "telephone_number": "501-821-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1900 ALDERSGATE RD",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722056620",
            "telephone_number": "501-821-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "5701 Springhill Road",
            "address_purpose": "LOCATION",
            "city": "Benton",
            "state": "AR",
            "postal_code": "72015",
            "country_code": "US",
            "telephone_number": "501-653-2255",
            "fax_number": "501-653-2257",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "908 N Reynolds Rd",
            "address_purpose": "LOCATION",
            "city": "Bryant",
            "state": "AR",
            "postal_code": "720223034",
            "country_code": "US",
            "telephone_number": "501-847-9711",
            "fax_number": "501-847-6929",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GIBSON",
        "first_name": "LORA",
        "middle_name": "REBECCA",
        "name_prefix": "Mrs.",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-19",
        "last_updated": "2023-02-01",
        "certification_date": "2023-01-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "TN",
            "license": "3892",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "3380",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "4289409",
            "state": "TN"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS OF TN PIN",
            "identifier": "4225538",
            "state": "TN"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anna Marie Gibson, RN
• Gary G. Gibson, PD
• Gunnar H Gibson, MD
• Jessica Elizabeth Gibson, M.S. CCC-SLP
• Katie G Gibson, DDS
• Melinda Gibson, CRNA
• Mitzi A Gibson, MSPT
• Patricia Lynne Gibson, M.D.
• Shanita Gibson, LAC
• Tameka Sproling Gibson, MA, LPC , CRC, LADAC

• Occupational Therapist in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 1, 2023; 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.