Organization Active NPI

Leaps and Bounds Pediatric Therapy

  • Occupational Therapist
  • Conway, AR
National Provider Identifier
1770649956
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1281 Issued in AR
Legal business name
LEAPS AND BOUNDS PEDIATRIC THERAPY
Practice address
3060 Dallas Loop
Conway, AR 72034-8123
Phone
(501) 730-0742
Fax
(501) 730-0742
NPI assigned
Dec 29, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Mrs. Lea Ann Robinson, OTRL
Title
Occupational Therapist
Phone
(501) 730-0742

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OTR1281 AR Primary

Addresses

Primary practice location

3060 Dallas Loop
Conway, AR 72034-8123

Mailing address

3060 Dallas Loop
Conway, AR 72034-8123
Phone (501) 730-0742

Other identifiers 1

IdentifierTypeStateIssuer
5W518OtherARBCBS SUBMITTER ID

National Provider Directory

National Provider Directory

Locations

8830 Tallon Ln NE
Ste C
Lacey, WA 98516
Phone (253) 355-6548

Practitioners & affiliated clinicians

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1167350400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1770649956",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3060 DALLAS LOOP",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348123",
            "telephone_number": "501-730-0742",
            "fax_number": "501-730-0742"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3060 DALLAS LOOP",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720348123",
            "telephone_number": "501-730-0742",
            "fax_number": "501-730-0742"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LEAPS AND BOUNDS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-29",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ROBINSON",
        "authorized_official_first_name": "LEA",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "501-730-0742",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTRL"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1281",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS SUBMITTER ID",
            "identifier": "5W518",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.