Becky Gleue

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A866 Issued in AR

Practice address

3801 Johnson Mill Blvd Ste B
Fayetteville, AR 72704-6364

Phone

(479) 856-6400

Fax

(479) 856-6623

NPI assigned

May 27, 2015

Last updated

May 27, 2015By the provider in NPPES

Sex

Female

Sole proprietor

No

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Horse-Play Pediatrics

  • Developmental Disabilities Clinic/Center
  • Fayetteville, AR
  • NPI 1619337904
  NPD (past)

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

{
    "created_epoch": "1432684800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1432684800000",
    "number": "1720467459",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3801 JOHNSON MILL BLVD STE B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046364",
            "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": "3801 JOHNSON MILL BLVD STE B",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727046364",
            "telephone_number": "479-856-6400",
            "fax_number": "479-856-6623"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "GLEUE",
        "first_name": "BECKY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-05-27",
        "last_updated": "2015-05-27",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A866",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "OCCUPATIONAL THERAPY ASSISTANT LICENSE",
            "identifier": "OT-A866",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Rachel Elizabeth Glade, SLP, LSLS CERT. AVT
• Bailey Gladish
• Richard E. Glascock, CRNA
• Ashley Glenn, LAC
• Kara L Glenn
• Michael Glidewell
• Josiah Glise, DO
• David Jeffrey Glover, LCSW
• Kelsi McBrayer Godwin, LCSW
• Akila Aditi Goel, DO

• Occupational Therapy Assistant in Fayetteville, AR
• Providers in Fayetteville, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 27, 2015; 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.