Manjula Robert Bathula, OTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A380 Issued in AR

Practice address

704 W Beebe Capps Expy
Searcy, AR 72143-6304

Phone

(501) 279-7727

Fax

(501) 279-7728

NPI assigned

Jun 2, 2011

Last updated

Jun 2, 2011By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Physician's Therapy Group, LLC

  • Speech-Language Pathologist
  • Springdale, AR
  • NPI 1144276585
  NPD (past)

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

{
    "created_epoch": "1306972800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1306972800000",
    "number": "1639463052",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "704 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436304",
            "telephone_number": "501-279-7727",
            "fax_number": "501-279-7728"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "704 W BEEBE CAPPS EXPY",
            "city": "SEARCY",
            "state": "AR",
            "postal_code": "721436304",
            "telephone_number": "501-279-7727",
            "fax_number": "501-279-7728"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BATHULA",
        "first_name": "MANJULA",
        "middle_name": "ROBERT",
        "credential": "OTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2011-06-02",
        "last_updated": "2011-06-02",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A380",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kevin M Barnett, MD
• Shelby Barnhill, LCSW
• Danny Marion Basinger, PTA
• Ethan George Bassham, MHPP
• Kelda Elizabeth Bassham, LPC, LMFT
• BC Medical
• Carl Timothy Bearden, LCSW
• Loren K Beason
• Jessica Beaty
• Mackenzie Claire Beckmon

• Occupational Therapy Assistant in Searcy, AR
• Providers in Searcy, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 2, 2011; 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.