Ledelma Asariaz Cotoco, OTR

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR928 Issued in AR

Practice address

205 Fairview Rd
Crossett, AR 71635-4537

Phone

(870) 304-2078

Fax

(870) 864-0411

NPI assigned

May 3, 2007

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Locations

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.

• Quality Health Services of South Arkansas LLC

  • Comprehensive Outpatient Rehabilitation Facility (CORF)
  • Crossett, AR
  • NPI 1952908972
  NPD

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

{
    "created_epoch": "1178150400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1708041600000",
    "number": "1790997872",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "870 NICK SPRINGS RD",
            "city": "EL DORADO",
            "state": "AR",
            "postal_code": "717309328",
            "telephone_number": "870-866-5497"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "205 FAIRVIEW RD",
            "city": "CROSSETT",
            "state": "AR",
            "postal_code": "716354537",
            "telephone_number": "870-304-2078",
            "fax_number": "870-864-0411"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "COTOCO",
        "first_name": "LEDELMA",
        "middle_name": "ASARIAZ",
        "name_prefix": "Ms.",
        "credential": "OTR",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2007-05-03",
        "last_updated": "2024-02-16",
        "certification_date": "2024-02-16",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR928",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "142741721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• City Rexall Drug Pharmacy
• Jacquelyn Sue Grace Clark, DO
• Community Compassion Stonegate (Somerset Senior Living at Stonegate)
• Complete Integrated Healthcare LLC
• Continuum, LLC
• Crossett Health Foundation (Ashley Family Clinic)
• Crossett Health Foundation (Ashley Health Services)
• Crossett Health Foundation (Acmc Family Home Health)
• Crossett Health Foundation (Ashley County Anesthesia)
• Crossett Health Foundation (Ashley Speciatly Clinics)

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

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 16, 2024; 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.

Verify at the official NPI Registry.