Active NPI
Toni Conville Reddell
- Occupational Therapist
- Little Rock, AR
National Provider Identifier
1679625917
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1056
- Practice address
- 5 Remington Dr
Little Rock, AR 72204-8202 - Phone
- (501) 850-8788
- Fax
- (501) 850-8791
- NPI assigned
- Jan 17, 2007
- Last updated
- Aug 8, 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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR1056 | AR | Primary |
Addresses
Primary practice location
5 Remington Dr
Little Rock, AR 72204-8202
Mailing address
203 Hidden Valley Loop
Maumelle, AR 72113-6785
Phone (501) 850-8788
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143786721 | Medicaid | AR | |
| 5U520 | Other | AR | BCBS |
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
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1056 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1168992000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1344384000000",
"number": "1679625917",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 HIDDEN VALLEY LOOP",
"city": "MAUMELLE",
"state": "AR",
"postal_code": "721136785",
"telephone_number": "501-850-8788"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "5 REMINGTON DR",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722048202",
"telephone_number": "501-850-8788",
"fax_number": "501-850-8791"
}
],
"practiceLocations": [],
"basic": {
"last_name": "REDDELL",
"first_name": "TONI",
"middle_name": "CONVILLE",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-01-17",
"last_updated": "2012-08-08",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1056",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143786721",
"state": "AR"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BCBS",
"identifier": "5U520",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
- Red River Pharmacy Long Term Care, LLC (Red River LTC of Little Rock)
- Red River Pharmacy of Little Rock (Red River Infusion Pharmacy of Little Rock)
- Red River Pharmacy of Little Rock (Red River Infusion Pharmacy of Little Rock)
- Red River Pharmacy of Little Rock LLC (Red River Pharmacy of Little Rock)
- Megan L Redam, APN
- Allen H Redding, M.D.
- Nathan A Redding, MD
- Raghu M Reddy, MD
- Venu Venkatapuram Reddy
- Jonathan Redic, CRNA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.