Active NPI
Out of Knowhere PLLC
- Occupational Therapist
- White Hall, AR
National Provider Identifier
1770899122
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR 1983
- Legal business name
- OUT OF KNOWHERE PLLC
- Practice address
- 7500 Dollarway Rd
Suite 301
White Hall, AR 71602-3027 - Phone
- (870) 329-9626
- Fax
- (870) 534-5912
- NPI assigned
- Aug 24, 2010
- Last updated
- Aug 24, 2010
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Cedric Watts, OTR/L
- Title
- Owner
- Phone
- (870) 329-9626
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Massage Therapist | 225700000X | 6052 | AR | |
| Occupational Therapist | 225X00000X | OTR 1983 | AR | Primary |
Addresses
Primary practice location
7500 Dollarway Rd
Suite 301
White Hall, AR 71602-3027
Mailing address
3902 S Fir St
Pine Bluff, AR 71603-6233
Phone (870) 329-9626
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
7500 Dollarway Rd
Ste 203
White Hall, AR 71602
Phone (870) 247-2099
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Occupational Therapy Assistant
- White Hall, AR
- NPI 1295108892
-
- Physical Therapy Assistant
- White Hall, AR
- NPI 1861007791
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1282608000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1282608000000",
"number": "1770899122",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3902 S FIR ST",
"city": "PINE BLUFF",
"state": "AR",
"postal_code": "716036233",
"telephone_number": "870-329-9626",
"fax_number": "870-534-5912"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7500 DOLLARWAY RD",
"address_2": "SUITE 301",
"city": "WHITE HALL",
"state": "AR",
"postal_code": "716023027",
"telephone_number": "870-329-9626",
"fax_number": "870-534-5912"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "OUT OF KNOWHERE PLLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-08-24",
"last_updated": "2010-08-24",
"status": "A",
"authorized_official_last_name": "WATTS",
"authorized_official_first_name": "CEDRIC",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "870-329-9626",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "225700000X",
"taxonomy_group": "",
"desc": "Massage Therapist",
"state": "AR",
"license": "6052",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR 1983",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in White Hall, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 24, 2010; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.