Individual provider Active NPI

Ella Hayes Whitlow, OTR/L

  • Occupational Therapist
  • West Memphis, AR
National Provider Identifier
1831795640
Registry record updated Jul 28, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
6721 Issued in TN
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

Updated by the provider on Jul 28, 2021

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

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
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 Former name

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

LicenseStateTypeSpecialty
5414ALMDGeneral Practice Dentistry
OTR3474ARMDOccupational Therapist
6721TNMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapeutic Focus, L.L.C. Occupational Therapist CurrentSince Dec 13, 2020 Accepting new patients
Therapeutic Alliance Occupational Therapist PastSince Dec 13, 2020 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.

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.

Verify at the official NPI Registry.