Active NPI
Janet Ford
- Rehabilitation Practitioner
- Little Rock, AR
National Provider Identifier
1740833094
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Rehabilitation Practitioner
- Practice address
- 2811 Fair Park Blvd
Little Rock, AR 72204-5044 - Phone
- (501) 664-7100
- NPI assigned
- Jul 16, 2019
- Last updated
- Jul 16, 2019
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Rehabilitation Practitioner | 225400000X | AR | Primary |
Addresses
Primary practice location
2811 Fair Park Blvd
Little Rock, AR 72204-5044
Mailing address
2724 Oak Tree CV
Benton, AR 72019-3403
Phone (501) 529-0106
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180545795 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| World Services for the Blind | 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Case Management Agency
- Little Rock, AR
- NPI 1205040623
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1563235200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1563235200000",
"number": "1740833094",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2724 OAK TREE CV",
"city": "BENTON",
"state": "AR",
"postal_code": "720193403",
"telephone_number": "501-529-0106"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2811 FAIR PARK BLVD",
"city": "LITTLE ROCK",
"state": "AR",
"postal_code": "722045044",
"telephone_number": "501-664-7100"
}
],
"practiceLocations": [],
"basic": {
"last_name": "FORD",
"first_name": "JANET",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2019-07-16",
"last_updated": "2019-07-16",
"status": "A"
},
"taxonomies": [
{
"code": "225400000X",
"taxonomy_group": "",
"desc": "Rehabilitation Practitioner",
"state": "AR",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180545795",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}Other providers in Little Rock, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 16, 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.