Angela White, OTR/L

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR1563 Issued in AR

Practice address

925 Country Club Pkwy
Maumelle, AR 72113

Phone

(501) 387-7244

NPI assigned

Mar 1, 2024

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)

Enrolled

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.

• Mira at Maumelle

  dba Mira at Maumelle, LLC

  • Assisted Living Facility
  • Maumelle, AR
  • NPI 1649051665
  NPD

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

{
    "created_epoch": "1709251200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1709251200000",
    "number": "1770340259",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3145 MAJESTIC CIR",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720349670",
            "telephone_number": "501-428-0143"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "925 COUNTRY CLUB PKWY",
            "city": "MAUMELLE",
            "state": "AR",
            "postal_code": "72113",
            "telephone_number": "501-387-7244"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "WHITE",
        "first_name": "ANGELA",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2024-03-01",
        "last_updated": "2024-03-01",
        "certification_date": "2024-02-29",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1563",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lauren Ward
• Jessica Lynn Watt
• Katherine J Weiler, MSE-SLP
• Victor Werner, LPC
• Patty K. Whaley, L.C.S.W.
• Kennedy Michele Whitehead
• Marley Mitchell Whitener, RD
• Travon Whiteside, PT, DPT
• Arnetta Marie Williams
• Molly Williams, RDN/CSP/LD

• Occupational Therapist in Maumelle, AR
• Providers in Maumelle, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 1, 2024; 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.