Individual provider Active NPI

Emily Roberts, OTR

  • Occupational Therapist
  • Springdale, AR
National Provider Identifier
1689631517
Registry record updated Aug 12, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1495 Issued in AR
Practice address
6815 Isaacs Orchard Rd Ste D
Springdale, AR 72762-6285
Phone
(479) 856-6400
Fax
(479) 856-6623
NPI assigned
Apr 26, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 12, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR1495 AR Primary

Addresses

Primary practice location

6815 Isaacs Orchard Rd Ste D
Springdale, AR 72762-6285

Mailing address

6815 Isaacs Orchard Rd Ste D
Springdale, AR 72762-6285
Phone (479) 856-6400

Other identifiers 2

IdentifierTypeStateIssuer
5W455OtherARBLUE CROSS BLUE SHIELD
138813721MedicaidAR

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address emily@thera-play.com

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
OTR1495ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Archway Therapy Services Occupational Therapist 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.

NPI Registry JSON

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

{
    "created_epoch": "1146009600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1565568000000",
    "number": "1689631517",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626285",
            "telephone_number": "479-856-6400",
            "fax_number": "479-856-6623"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6815 ISAACS ORCHARD RD STE D",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727626285",
            "telephone_number": "479-856-6400",
            "fax_number": "479-856-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTS",
        "first_name": "EMILY",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-04-26",
        "last_updated": "2019-08-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1495",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5W455",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "138813721",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "emily@thera-play.com",
            "affiliation": "N",
            "address_1": "6815 Isaacs Orchard Rd Ste D",
            "city": "Springdale",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727626285",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 12, 2019; 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.