Kobe Rose, OTD

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

Practice address

16192 Easterling Rd
Pea Ridge, AR 72751-2013

Phone

(479) 445-4133

NPI assigned

Feb 15, 2025

Last updated

Feb 15, 2025By the provider in NPPES

Sex

Male

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

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

{
    "created_epoch": "1739577600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1739577600000",
    "number": "1669277547",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "16192 EASTERLING RD",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512013",
            "telephone_number": "479-445-4133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16192 EASTERLING RD",
            "city": "PEA RIDGE",
            "state": "AR",
            "postal_code": "727512013",
            "telephone_number": "479-445-4133"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROSE",
        "first_name": "KOBE",
        "credential": "OTD",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2025-02-15",
        "last_updated": "2025-02-15",
        "certification_date": "2025-02-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Pea Ridge Urgent Care Clinic
• Peronia Physical Therapy
• Alex Pistorius, DDS
• Courtney Elizabeth Powell, M.S., CF-SLP
• Marc Pratley
• Crystal Sennett, DPT
• Serc Rehabilitation Partners LLC
• Shreya Shah
• Nasser - Shirakbari, P.D.
• St Francis House Nwa, Inc (Community Clinic Pea Ridge)

• Occupational Therapist in Pea Ridge, AR
• Providers in Pea Ridge, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 15, 2025; 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.