Kealey Loy Wyse, COTA

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

O-T0842 Issued in AR

Practice address

6520 Baseline Rd
Suite a
Little Rock, AR 72209-4732

Phone

(501) 570-4001

NPI assigned

Aug 25, 2008

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

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not 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 and National Provider Directory roles.

• Higher Learning Preparatory Learning Center Inc

  • Speech-Language Pathologist
  • Little Rock, AR
  • NPI 1598973950
  NPD (past)

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

{
    "created_epoch": "1219622400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1219622400000",
    "number": "1760639413",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8724 BUCK RD",
            "city": "ALEXANDER",
            "state": "AR",
            "postal_code": "720029506",
            "telephone_number": "501-860-5775"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6520 BASELINE RD",
            "address_2": "SUITE A",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722094732",
            "telephone_number": "501-570-4001"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WYSE",
        "first_name": "KEALEY",
        "middle_name": "LOY",
        "name_prefix": "Mrs.",
        "credential": "COTA",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2008-08-25",
        "last_updated": "2008-08-25",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "O-T0842",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kittrel L Wynne
• Ashlea Wyrick, AU.D.
• Deidre Wyrick, M.D.
• Morgan Wyrick, PA-C
• Theresa Wyrick, MD
• Xcell Therapy Services
• Fen Xia, MD, PHD
• Guangyu Xia, DACM, DIPL.OM, LAC
• Sisira Yadala, M.D.
• Vivek Yadala

• Occupational Therapy Assistant in Little Rock, AR
• Providers in Little Rock, 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 Aug 25, 2008; 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.