Individual provider Active NPI

Faith Caroline Oliver, OTD, OTR/L

  • Occupational Therapist
  • North Little Rock, AR
National Provider Identifier
1629762679
Registry record updated Jul 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3789 Issued in AR
Practice address
119 W H Ave
North Little Rock, AR 72116-8733
Phone
(501) 246-5191
Fax
(501) 246-5393
NPI assigned
Jun 5, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 19, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR3789 AR Primary

Addresses

Primary practice location

119 W H Ave
North Little Rock, AR 72116-8733

Mailing address

1401 Scott St Apt 108
Little Rock, AR 72202-5086
Phone (501) 772-8834

Other practice location 1

304 Sorenson St
North Little Rock, AR 72118-3473
Phone (501) 246-5191

Other names 1

  • Faith Caroline Kenley Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20230710003695 AR Practitioner - Occupational Therapist in Private Practice 4688033558 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2022
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Alptp, PLLCGroup PAC ID 0749239754, 2 clinicians

Practice addresses (Care Compare)

119 W H Ave
North Little Rock, AR 72116-8733
Phone (501) 772-3224

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR3789ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alptp, PLLC CurrentSince Jun 6, 2023 Accepting new patients

Locations

119 W H Ave
North Little Rock, AR 72116
Phone (501) 772-3224

304 Sorenson St
North Little Rock, AR 72118
Phone (501) 246-5191

Organizations & group practices 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1685923200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1721347200000",
    "number": "1629762679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1401 SCOTT ST APT 108",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722025086",
            "telephone_number": "501-772-8834"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "119 W H AVE",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721168733",
            "telephone_number": "501-246-5191",
            "fax_number": "501-246-5393"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "304 Sorenson St",
            "address_purpose": "LOCATION",
            "city": "North Little Rock",
            "state": "AR",
            "postal_code": "721183473",
            "country_code": "US",
            "telephone_number": "501-246-5191",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "OLIVER",
        "first_name": "FAITH",
        "middle_name": "CAROLINE",
        "name_prefix": "Dr.",
        "credential": "OTD, OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-06-05",
        "last_updated": "2024-07-19",
        "certification_date": "2024-07-19",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3789",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "FAITH",
            "last_name": "KENLEY",
            "middle_name": "CAROLINE",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.