Individual provider Active NPI

Rachel Ladymon, M.S., OTR/L

  • Occupational Therapist
  • Fayetteville, AR
National Provider Identifier
1770036782
Registry record updated May 23, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR2898 Issued in AR
Practice address
1760 N Woodland Ave
Fayetteville, AR 72703
Phone
(479) 443-4420
NPI assigned
Jul 26, 2016
Last updated
May 23, 2018By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 23, 2018

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 2016012196 MO
Occupational Therapist 225X00000X OTR2898 AR Primary

Addresses

Primary practice location

1760 N Woodland Ave
Fayetteville, AR 72703

Mailing address

567 E Mimosa LN
Fayetteville, AR 72703-3979

Other practice location 1

200 South St
Paris, MO 65275-1165
Phone (660) 327-1024

Other identifiers 1

IdentifierTypeStateIssuer
224283721MedicaidAR

Other names 1

  • Rachel Carthel Former name

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
Credentials
Master of Science

State licenses

LicenseStateTypeSpecialty
OTR2898ARMDOccupational Therapist
2016012196MOMDOccupational Therapist

NPI Registry JSON

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

{
    "created_epoch": "1469491200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1527033600000",
    "number": "1770036782",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "567 E MIMOSA LN",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727033979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1760 N WOODLAND AVE",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "72703",
            "telephone_number": "479-443-4420"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "200 South St",
            "address_purpose": "LOCATION",
            "city": "Paris",
            "state": "MO",
            "postal_code": "652751165",
            "country_code": "US",
            "telephone_number": "660-327-1024",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "LADYMON",
        "first_name": "RACHEL",
        "name_prefix": "Mrs.",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-07-26",
        "last_updated": "2018-05-23",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "MO",
            "license": "2016012196",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2898",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "224283721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "RACHEL",
            "last_name": "CARTHEL",
            "credential": "M.S., OTR/L",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2018; 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.