Active NPI
Richard K Loghry, OTRL
- Occupational Therapist
- Bryant, AR
National Provider Identifier
1780801555
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR1803
- Practice address
- 2307 Pleasure Dr
Bryant, AR 72019 - Phone
- (501) 722-3105
- NPI assigned
- Apr 20, 2007
- Sex
- Male
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR1803 | AR | Primary |
Addresses
Primary practice location
2307 Pleasure Dr
Bryant, AR 72019
Mailing address
2307 Pleasure Dr
Bryant, AR 72019-6364
Phone (501) 722-3105
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y823 | Other | AR | ARBCBS |
| 155067721 | Medicaid | AR |
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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1803 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1177027200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1527206400000",
"number": "1780801555",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2307 PLEASURE DR",
"city": "BRYANT",
"state": "AR",
"postal_code": "720196364",
"telephone_number": "501-722-3105"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2307 PLEASURE DR",
"city": "BRYANT",
"state": "AR",
"postal_code": "72019",
"telephone_number": "501-722-3105"
}
],
"practiceLocations": [],
"basic": {
"last_name": "LOGHRY",
"first_name": "RICHARD",
"middle_name": "K",
"credential": "OTRL",
"sole_proprietor": "NO",
"sex": "M",
"enumeration_date": "2007-04-20",
"last_updated": "2018-05-25",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR1803",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ARBCBS",
"identifier": "5Y823",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155067721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Bryant, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 25, 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.