Abigail Thompson

Individual provider Active NPI Occupational Therapy Assistant · Bono, AR

NPI 1831969401 · NPPES record last updated Jan 5, 2024

Key facts

NPI
1831969401
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
OT-A1997 (AR)
Practice address
677 Highway 91 W
Bono, AR 72416-8127
Phone
(870) 206-4226
NPI assigned
Jan 4, 2024
Sex
Female
Sole proprietor
No

Organizations & group practices 1

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.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
OT-A1997ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Heritage Therapy, L.L.C. Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A1997 AR Yes

Addresses

Primary practice location

677 Highway 91 W
Bono, AR 72416-8127

Mailing address

280 County Road 388
Jonesboro, AR 72401-0606
Phone (870) 206-4226

Other providers in Bono, AR

All providers in Bono, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.