Individual provider Active NPI

Abby Barrie

  • Occupational Therapist
  • Fayetteville, AR
National Provider Identifier
1679333702
Registry record updated Mar 19, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
3916 Issued in AR
Practice address
1790 North Woodland Avenuse
Fayetteville, AR 72764
Phone
(870) 336-8100
NPI assigned
Mar 19, 2024
Sex
Female
Sole proprietor
No

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.

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
3916ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Miracle Kids Success Academy Central CurrentSince Feb 23, 2025 Accepting new patients

Locations

3127 Southwest Dr
Jonesboro, AR 72404

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 3916 AR Primary

Addresses

NPPES NPI Registry

Primary practice location

1790 North Woodland Avenuse
Fayetteville, AR 72764

Mailing address

3127 Southwest Dr
Jonesboro, AR 72404-8404
Phone (870) 336-8100

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 19, 2024.

{
    "created_epoch": "1710806400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1710806400000",
    "number": "1679333702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3127 SOUTHWEST DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724048404",
            "telephone_number": "870-336-8100"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1790 NORTH WOODLAND AVENUSE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72764",
            "telephone_number": "870-336-8100"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "BARRIE",
        "first_name": "ABBY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-19",
        "last_updated": "2024-03-19",
        "certification_date": "2024-03-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "3916",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 19, 2024; 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.