Active NPI
Sara Ivy, OTR.L
- Occupational Therapist
- Bryant, AR
National Provider Identifier
1740305580
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR819
- Practice address
- 2705 Arbors Ter
Bryant, AR 72022-8026 - Phone
- (501) 425-9558
- NPI assigned
- Mar 20, 2007
- 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 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Specialist | 174400000X | OTR 819 | AR | |
| Occupational Therapist | 225X00000X | OTR819 | AR | Primary |
Addresses
Primary practice location
2705 Arbors Ter
Bryant, AR 72022-8026
Mailing address
2705 Arbors Ter
Bryant, AR 72022-8026
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)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR 819 | AR | MD | Specialist |
| OTR819 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1174348800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1557792000000",
"number": "1740305580",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2705 ARBORS TER",
"city": "BRYANT",
"state": "AR",
"postal_code": "720228026"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2705 ARBORS TER",
"city": "BRYANT",
"state": "AR",
"postal_code": "720228026",
"telephone_number": "501-425-9558"
}
],
"practiceLocations": [],
"basic": {
"last_name": "IVY",
"first_name": "SARA",
"credential": "OTR.L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-03-20",
"last_updated": "2019-05-14",
"status": "A"
},
"taxonomies": [
{
"code": "174400000X",
"taxonomy_group": "",
"desc": "Specialist",
"state": "AR",
"license": "OTR 819",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR819",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 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.