Therapy for Life, LLC
Organization Active NPI Occupational Therapist · Flippin, AR
NPI 1669913257 · NPPES record last updated Mar 15, 2017
Key facts
- NPI
- 1669913257
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Occupational Therapist 225X00000X
- License
- OTR2765 (AR)
- Legal business name
- THERAPY FOR LIFE, LLC
- Practice address
- 9460 Hwy 62 E
Flippin, AR 72634 - Phone
- (870) 404-7736
- NPI assigned
- Mar 15, 2017
- Organization subpart
- No
Authorized official
- Name
- Rebecca Hicks
- Title
- Managing Partner
- Phone
- (870) 404-7736
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist |
225X00000X | OTR2765 | AR | Yes |
Addresses
Primary practice location
9460 Hwy 62 E
Flippin, AR 72634
Mailing address
PO Box 353
Flippin, AR 72634-0353
Phone (870) 404-7736
NPI Registry JSON
{
"created_epoch": "1489536000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1489536000000",
"number": "1669913257",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 353",
"city": "FLIPPIN",
"state": "AR",
"postal_code": "726340353",
"telephone_number": "870-404-7736"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "9460 HWY 62 E",
"city": "FLIPPIN",
"state": "AR",
"postal_code": "72634",
"telephone_number": "870-404-7736"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THERAPY FOR LIFE, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2017-03-15",
"last_updated": "2017-03-15",
"status": "A",
"authorized_official_last_name": "HICKS",
"authorized_official_first_name": "REBECCA",
"authorized_official_title_or_position": "MANAGING PARTNER",
"authorized_official_telephone_number": "870-404-7736"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2765",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
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Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 15, 2017. 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.