NPIMap

Organization Active NPI

Ozark Shoulder to Hand Center LLC

  • Occupational Therapist
  • Mountain Home, AR
National Provider Identifier
1750711743
Registry record updated Feb 27, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1340 Issued in AR
Legal business name
OZARK SHOULDER TO HAND CENTER LLC
Practice address
715 W 6TH St
Ozark Shoulder to Hand Center
Mountain Home, AR 72653-3421
Phone
(870) 424-2224
Fax
(870) 424-0493
NPI assigned
Nov 12, 2013
Last updated
Feb 27, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 27, 2014

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

Authorized official

Name
Crystal D Henry, OTR/L,CHTNPI 1700215662
Title
Managing Member
Phone
(870) 421-6937

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR1340 AR Primary
Hand Occupational Therapist 225XH1200X OTR1340 AR
Neurorehabilitation Occupational Therapist 225XN1300X OTR1340 AR
Pediatric Occupational Therapist 225XP0200X OTR1340 AR
Physical Rehabilitation Occupational Therapist 225XP0019X OTR1340 AR

Addresses

Primary practice location

715 W 6TH St
Ozark Shoulder to Hand Center
Mountain Home, AR 72653-3421

Mailing address

PO Box 430
Mountain Home, AR 72654-0430
Phone (870) 424-2224

National Provider Directory

National Provider Directory

Locations

804 Coley Dr
Mountain Home, AR 72653
Phone (870) 424-2224

Practitioners & affiliated clinicians

Practitioners 15

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.

View all 15

NPI Registry JSON

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

{
    "created_epoch": "1384214400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1393459200000",
    "number": "1750711743",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 430",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726540430",
            "telephone_number": "870-424-2224",
            "fax_number": "870-424-0493"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "715 W 6TH ST",
            "address_2": "OZARK SHOULDER TO HAND CENTER",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726533421",
            "telephone_number": "870-424-2224",
            "fax_number": "870-424-0493"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "OZARK SHOULDER TO HAND CENTER LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-11-12",
        "last_updated": "2014-02-27",
        "status": "A",
        "authorized_official_last_name": "HENRY",
        "authorized_official_first_name": "CRYSTAL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MANAGING MEMBER",
        "authorized_official_telephone_number": "870-421-6937",
        "authorized_official_credential": "OTR/L,CHT"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1340",
            "primary": true
        },
        {
            "code": "225XH1200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Hand",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XN1300X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Neurorehabilitation",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        },
        {
            "code": "225XP0019X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": "AR",
            "license": "OTR1340",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 27, 2014; 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.