Active NPI
Ellen Renee Hundley, OTR/L
- Pediatric Occupational Therapist
- Forrest City, AR
National Provider Identifier
1699178111
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR2757
- Practice address
- Kids for the Future, Inc
3998 Hwy 1 North
Forrest City, AR 72335-7637 - Phone
- (870) 630-2328
- Fax
- (870) 633-1738
- NPI assigned
- Sep 29, 2014
- 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 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | |||
| Pediatric Occupational Therapist | 225XP0200X | OT5716 | TN | |
| Pediatric Occupational Therapist | 225XP0200X | OTR2757 | AR | Primary |
Addresses
Primary practice location
Kids for the Future, Inc
3998 Hwy 1 North
Forrest City, AR 72335-7637
Mailing address
2101 Evelyn Ave
Memphis, TN 38104-5417
Phone (870) 926-1933
Other names 1
- Ellen Renee Hester
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 |
|---|---|---|---|
| OTR2757 | AR | MD | Pediatric Occupational Therapist |
| OT5716 | TN | MD | Pediatric Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1411948800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1658361600000",
"number": "1699178111",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2101 EVELYN AVE",
"city": "MEMPHIS",
"state": "TN",
"postal_code": "381045417",
"telephone_number": "870-926-1933",
"fax_number": "870-932-3611"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "KIDS FOR THE FUTURE, INC",
"address_2": "3998 HWY 1 NORTH",
"city": "FORREST CITY",
"state": "AR",
"postal_code": "723357637",
"telephone_number": "870-630-2328",
"fax_number": "870-633-1738"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HUNDLEY",
"first_name": "ELLEN",
"middle_name": "RENEE",
"name_prefix": "Mrs.",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2014-09-29",
"last_updated": "2022-07-21",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": null,
"license": null,
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "TN",
"license": "OT5716",
"primary": false
},
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR2757",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLEN",
"last_name": "HESTER",
"middle_name": "RENEE",
"credential": "OTR/L",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in Forrest City, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 21, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.