Active NPI
Ella Hayes Whitlow, OTR/L
- Occupational Therapist
- West Memphis, AR
National Provider Identifier
1831795640
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- 6721
- Practice address
- 610 N Missouri St Ste 1
West Memphis, AR 72301-3148 - Phone
- (870) 400-0179
- NPI assigned
- Dec 7, 2020
- Sex
- Female
- Sole proprietor
- Yes
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 3
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3474 | AR | |
| Occupational Therapist | 225X00000X | 5414 | AL | |
| Occupational Therapist | 225X00000X | 6721 | TN | Primary |
Addresses
Primary practice location
610 N Missouri St Ste 1
West Memphis, AR 72301-3148
Mailing address
610 N Missouri St Ste 1
West Memphis, AR 72301-3148
Other names 1
- Ella Madison Hayes
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 |
|---|---|---|---|
| 5414 | AL | MD | General Practice Dentistry |
| OTR3474 | AR | MD | Occupational Therapist |
| 6721 | TN | MD | Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Therapeutic Focus, L.L.C. | Occupational Therapist | Current | Accepting new patients |
| Therapeutic Alliance | Occupational Therapist | Past | Accepting new patients |
| Venture Rehabilitation Group | Past | Accepting new patients |
Locations
610 N Missouri St
#1
West Memphis, AR 72301
Phone (870) 400-0179
Organizations & group practices 3
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.
-
- Occupational Therapist
- West Memphis, AR
- NPI 1972875896
-
- Orthopedic Physical Therapist
- West Memphis, AR
- NPI 1003219510
Occupational Therapist
-
- Speech-Language Pathologist
- Greenville, NC
- NPI 1528135035
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1607299200000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1627430400000",
"number": "1831795640",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "610 N MISSOURI ST STE 1",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013148"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "610 N MISSOURI ST STE 1",
"city": "WEST MEMPHIS",
"state": "AR",
"postal_code": "723013148",
"telephone_number": "870-400-0179"
}
],
"practiceLocations": [],
"basic": {
"last_name": "WHITLOW",
"first_name": "ELLA",
"middle_name": "HAYES",
"name_prefix": "Miss",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "F",
"enumeration_date": "2020-12-07",
"last_updated": "2021-07-28",
"certification_date": "2021-07-28",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR3474",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AL",
"license": "5414",
"primary": false
},
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "TN",
"license": "6721",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "ELLA",
"last_name": "HAYES",
"middle_name": "MADISON",
"code": "1",
"type": "Former Name"
}
]
}
Other providers in West Memphis, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 28, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.