Active NPI
Natalie Elizabeth Myers, COTA
- Occupational Therapy Assistant
- West Fork, AR
National Provider Identifier
1629404868
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapy Assistant
- License
- OT-A687
- Practice address
- 272 School Ave
West Fork, AR 72774-3124 - Phone
- (479) 839-3349
- Fax
- (479) 839-3752
- NPI assigned
- Sep 19, 2013
- Last updated
- Jan 11, 2023
- 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 Therapy Assistant | 224Z00000X | OT-A687 | AR | Primary |
Addresses
Primary practice location
272 School Ave
West Fork, AR 72774-3124
Mailing address
PO Drawer 2109
Russellville, AR 72811
Phone (479) 967-2322
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 199718721 | 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)
- Not enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A687 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Friendship Community Care Inc. | Past | Accepting new patients | |
| Post 0218, PLC | 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.
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NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1379548800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1673395200000",
"number": "1629404868",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO DRAWER 2109",
"city": "RUSSELLVILLE",
"state": "AR",
"postal_code": "72811",
"telephone_number": "479-967-2322",
"fax_number": "479-967-2876"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "272 SCHOOL AVE",
"city": "WEST FORK",
"state": "AR",
"postal_code": "727743124",
"telephone_number": "479-839-3349",
"fax_number": "479-839-3752"
}
],
"practiceLocations": [],
"basic": {
"last_name": "MYERS",
"first_name": "NATALIE",
"middle_name": "ELIZABETH",
"name_prefix": "Mrs.",
"credential": "COTA",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2013-09-19",
"last_updated": "2023-01-11",
"certification_date": "2023-01-11",
"status": "A"
},
"taxonomies": [
{
"code": "224Z00000X",
"taxonomy_group": "",
"desc": "Occupational Therapy Assistant",
"state": "AR",
"license": "OT-A687",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "199718721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in West Fork, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 11, 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.