Randi Carann Hestir, COTA-L

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

COTA1546 Issued in AR

Practice address

601 S Union St
De Witt, AR 72042-2727

Phone

(870) 946-1606

Fax

(870) 946-2739

NPI assigned

Oct 15, 2019

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

Electronic endpoints 1

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

Practice roles

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.

• Pattillo Center-School, Incorporated

  • Clinic/Center
  • Dewitt, AR
  • NPI 1780809194
  NPD (past)

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

{
    "created_epoch": "1571097600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1571097600000",
    "number": "1831731595",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "601 S UNION ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422727",
            "telephone_number": "870-946-1606",
            "fax_number": "870-946-2739"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "601 S UNION ST",
            "city": "DE WITT",
            "state": "AR",
            "postal_code": "720422727",
            "telephone_number": "870-946-1606",
            "fax_number": "870-946-2739"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HESTIR",
        "first_name": "RANDI",
        "middle_name": "CARANN",
        "name_prefix": "Mrs.",
        "credential": "COTA-L",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2019-10-15",
        "last_updated": "2019-10-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "COTA1546",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "COTA1546",
            "identifier": "COTA1546",
            "state": "AR"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "DeWitt",
            "affiliation": "N",
            "address_1": "601 S Union St",
            "city": "DE Witt",
            "state": "AR",
            "country_code": "US",
            "postal_code": "720422727",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Julie Beth Gardner, MD
• Grand Prairie Physical Therapy, Inc.
• Laura Ann Hannum, APRN
• Michael Harris
• John Richard Holt Hestir, DDS
• Maggie Holzhauer
• Darby Wray Horton, RDN
• Debra Horton, M.S.E., CCC-SLP
• Hallie Elizabeth Horton, QBHP
• Karen Sue Hudspeth, COTA

• Occupational Therapy Assistant in De Witt, AR
• Providers in De Witt, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 15, 2019; 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.