Raegan Avrit, OTD
Individual provider Active NPI Occupational Therapist · Jonesboro, AR
NPI 1639852148 · NPPES record last updated Aug 10, 2023
Key facts
- NPI
- 1639852148
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- 494285 (AR)
- Practice address
- 906 E Matthews Ave
Jonesboro, AR 72401-3050 - Phone
- (870) 919-0274
- NPI assigned
- Aug 10, 2023
- Sex
- Female
- Sole proprietor
- Yes
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 494285 | AR | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Jumping Jelly Beans Pediatric Therapy | Multi-Specialty | Past |
Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | 494285 | AR | Yes |
Addresses
Primary practice location
906 E Matthews Ave
Jonesboro, AR 72401-3050
Mailing address
906 E Matthews Ave
Jonesboro, AR 72401-3050
Other providers in Jonesboro, AR
- Jordan Austin
- Natalie Tate Austin
- Peggy Robin Austin
- Avan Home Care LLC
- Visa Lahang Avance
- Awanna LLC
- Lena Z Awar
- Ziad Awar
- Axpm Jonesboro Pedo, PLLC
- Axpm Jonesboro, PLLC
All providers in Jonesboro, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Aug 10, 2023. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.