Active NPI
Ashleigh Sumer Mankey, OTR/L
- Occupational Therapist
- Jacksonville, AR
National Provider Identifier
1649523465
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 2018027799
- Practice address
- 2400 W Main Street
Jacksonville, AR 72076 - Phone
- (501) 982-0528
- Fax
- (501) 533-6326
- NPI assigned
- Oct 17, 2012
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | 2018027799 | MO | Primary |
| Occupational Therapist | 225X00000X | OTR2564 | AR |
Addresses
Primary practice location
2400 W Main Street
Jacksonville, AR 72076
Mailing address
2520 W Main Street
Jacksonville, AR 72076
Phone (501) 982-0528
Other practice location 1
2400 W. Main
Jacksonville, AR 72076-4215
Phone (501) 982-0528
Other names 1
- Ashleigh Sumer Norris
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 2018027799 | MO | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathfinder, Inc. | Past | Accepting new patients |
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.
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, AR
- NPI 1629035043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1350432000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1665100800000",
"number": "1649523465",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2520 W MAIN STREET",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "72076",
"telephone_number": "501-982-0528",
"fax_number": "501-533-6326"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2400 W MAIN STREET",
"city": "JACKSONVILLE",
"state": "AR",
"postal_code": "72076",
"telephone_number": "501-982-0528",
"fax_number": "501-533-6326"
}
],
"practiceLocations": [
{
"address_1": "2400 W. Main",
"address_purpose": "LOCATION",
"city": "Jacksonville",
"state": "AR",
"postal_code": "720764215",
"country_code": "US",
"telephone_number": "501-982-0528",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"last_name": "MANKEY",
"first_name": "ASHLEIGH",
"middle_name": "SUMER",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2012-10-17",
"last_updated": "2022-10-07",
"certification_date": "2022-10-07",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "MO",
"license": "2018027799",
"primary": true
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2564",
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ASHLEIGH",
"last_name": "NORRIS",
"middle_name": "SUMER",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Jacksonville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 7, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.