Active NPI
Ruth Nichols Jeffries, OTR/L
- Occupational Therapist
- Fayetteville, AR
National Provider Identifier
1831322692
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR2288
- Practice address
- 46 W Colt Square Dr
Fayetteville, AR 72703-2813 - Phone
- (479) 582-2740
- Fax
- (479) 582-2746
- NPI assigned
- Aug 27, 2009
- Sex
- Female
- 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 | OTR2288 | AR | Primary |
Addresses
Primary practice location
46 W Colt Square Dr
Fayetteville, AR 72703-2813
Mailing address
46 W Colt Square Dr
Fayetteville, AR 72703-2813
Phone (479) 582-2740
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 |
|---|---|---|---|
| OTR2288 | AR | MD | Occupational Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1251331200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1253059200000",
"number": "1831322692",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "46 W COLT SQUARE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032813",
"telephone_number": "479-582-2740",
"fax_number": "479-582-2746"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "46 W COLT SQUARE DR",
"city": "FAYETTEVILLE",
"state": "AR",
"postal_code": "727032813",
"telephone_number": "479-582-2740",
"fax_number": "479-582-2746"
}
],
"practiceLocations": [],
"basic": {
"last_name": "JEFFRIES",
"first_name": "RUTH",
"middle_name": "NICHOLS",
"credential": "OTR/L",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2009-08-27",
"last_updated": "2009-09-16",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR2288",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Fayetteville, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 16, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.