Organization Active NPI

Teague Occupational Therapy Services, Inc

  • Pediatric Occupational Therapist
  • Hot Springs, AR
National Provider Identifier
1780619338
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatric Occupational TherapistTaxonomy code 225XP0200X
License
OTR848 Issued in AR
Legal business name
TEAGUE OCCUPATIONAL THERAPY SERVICES, INC
Practice address
1801 Central Ave Ste H
Hot Springs, AR 71901-6800
Phone
(501) 624-3606
Fax
(501) 318-0383
NPI assigned
Jul 12, 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. Sonja Deshon Teague, OTR
Title
Owner/Therapist
Phone
(501) 624-3606

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Pediatric Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0200X OTR848 AR Primary

Addresses

Primary practice location

1801 Central Ave Ste H
Hot Springs, AR 71901-6800

Mailing address

195 Longview PT
Hot Springs, AR 71913-8718
Phone (501) 262-9369

Other identifiers 1

IdentifierTypeStateIssuer
5U336OtherARBLUE CROSS BLUE SHIELD

Other names 1

  • TOTS Other name

National Provider Directory

National Provider Directory

Locations

1801 Central Ave
Ste H
Hot Springs, AR 71901
Phone (501) 318-4263

Practitioners & affiliated clinicians

Practitioners 1

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": "1152662400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1780619338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "195 LONGVIEW PT",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719138718",
            "telephone_number": "501-262-9369",
            "fax_number": "501-318-0383"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 CENTRAL AVE STE H",
            "city": "HOT SPRINGS",
            "state": "AR",
            "postal_code": "719016800",
            "telephone_number": "501-624-3606",
            "fax_number": "501-318-0383"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TEAGUE OCCUPATIONAL THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-12",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "TEAGUE",
        "authorized_official_first_name": "SONJA",
        "authorized_official_middle_name": "DESHON",
        "authorized_official_title_or_position": "OWNER/THERAPIST",
        "authorized_official_telephone_number": "501-624-3606",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR"
    },
    "taxonomies": [
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR848",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS BLUE SHIELD",
            "identifier": "5U336",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "TOTS",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Hot Springs, 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.