Organization Active NPI

Success Therapy Services

  • Occupational Therapist
  • Harrison, AR
National Provider Identifier
1811337900
Registry record updated Jul 3, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR2149 Issued in AR
Legal business name
SUCCESS THERAPY SERVICES
Practice address
214 Landon LN
Harrison, AR 72601-1814
Phone
(870) 577-2127
NPI assigned
Jul 3, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 3, 2013

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

Authorized official

Name
Tracey Rodery I, OTR/LNPI 1508049644
Title
Occupational Therapist
Phone
(870) 577-2127

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OTR2149 AR Primary

Addresses

Primary practice location

214 Landon LN
Harrison, AR 72601-1814

Mailing address

214 Landon LN
Harrison, AR 72601-1814
Phone (870) 577-2127

Other identifiers 2

IdentifierTypeStateIssuer
174899721MedicaidAR
166329721MedicaidAR

National Provider Directory

National Provider Directory

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": "1372809600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1372809600000",
    "number": "1811337900",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "214 LANDON LN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011814",
            "telephone_number": "870-577-2127"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "214 LANDON LN",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726011814",
            "telephone_number": "870-577-2127"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SUCCESS THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-03",
        "last_updated": "2013-07-03",
        "status": "A",
        "authorized_official_last_name": "RODERY",
        "authorized_official_first_name": "TRACEY",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "870-577-2127",
        "authorized_official_name_suffix": "I",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2149",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "174899721",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "166329721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 3, 2013; 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.