Active Health Services, Inc

Primary specialty

Comprehensive Outpatient Rehabilitation Facility (CORF)Taxonomy code 261QR0401X

Legal business name

ACTIVE HEALTH SERVICES, INC

Practice address

2220 S Waldron Rd
Fort Smith, AR 72903-3733

Phone

(479) 659-2342

NPI assigned

Feb 27, 2019

Last updated

Feb 27, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Emily Roberts, OTR/L

Title

President

Phone

(479) 659-2342

Specialties & licenses 2

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Jonathan Scott Jennings, OTA

  • Occupational Therapy Assistant
  • Fort Smith, AR
  • NPI 1558241968
  NPD (past)

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

{
    "created_epoch": "1551225600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1551225600000",
    "number": "1710444658",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2220 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033733",
            "telephone_number": "479-659-2342"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2220 S WALDRON RD",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033733",
            "telephone_number": "479-659-2342"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ACTIVE HEALTH SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-02-27",
        "last_updated": "2019-02-27",
        "status": "A",
        "authorized_official_last_name": "ROBERTS",
        "authorized_official_first_name": "EMILY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-659-2342",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "261QR0401X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Rehabilitation, Comprehensive Outpatient Rehabilitation Facility (CORF)",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "2080S0010X",
            "taxonomy_group": "",
            "desc": "Pediatrics, Sports Medicine",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE",
            "identifier": "OTR1495",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Abigail Abshire
• Absolute Chiropractic
• Access Healthcare Staffing Solutions, PLLC
• Achieve Center for Therapy, PLLC
• Jimmy David Acklin, M.D.
• Actss a Common Thread Supportive Services
• Jordan Mason Adair, BS CIT RDS
• Brooklyn Marie Adams
• Kayla Ann Adams, APRN
• Laura L Adams, MD

• Comprehensive Outpatient Rehabilitation Facility (CORF) in Fort Smith, AR
• Providers in Fort Smith, AR by specialty
• Comprehensive Outpatient Rehabilitation Facility (CORF) in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 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.