Individual provider Active NPI

Krysta Renae Nash, OTR/L

  • Occupational Therapist
  • Ash Flat, AR
National Provider Identifier
1841009677
Registry record updated Feb 3, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR4036 Issued in AR
Practice address
75 Highway 62 412 Ste L
Ash Flat, AR 72513-9629
Phone
(870) 243-6292
NPI assigned
Jan 6, 2025
Last updated
Feb 3, 2025By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2025

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OTR4036 AR Primary

Addresses

Primary practice location

75 Highway 62 412 Ste L
Ash Flat, AR 72513-9629

Mailing address

148 Linwood Dr
Paragould, AR 72450-4077
Phone (870) 520-8761

Other practice location 1

148 Linwood Dr
Paragould, AR 72450-4077
Phone (870) 520-8761

Other practice location 2

308 E 7th St
Mountain Home, AR 72653-4416
Phone (870) 701-1821

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250424001229 AR Practitioner - Occupational Therapist in Private Practice 9133645914 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2024
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Gross Therapy Services IncGroup PAC ID 5991072050, 45 clinicians

Practice addresses (Care Compare)

1441 Hwy 62 412
Highland, AR 72542-9497
Phone (870) 955-1020

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Gross Therapy Services, Inc. Physical Therapist CurrentSince Mar 24, 2025 Accepting new patients
Hands on Learning, LLC. Physical Therapist CurrentSince Feb 9, 2025 Accepting new patients

Locations

1441 Highway 62 412
Highland, AR 72542
Phone (870) 856-9675

148 Linwood Dr
Paragould, AR 72450
Phone (870) 219-1086

Organizations & group practices 2

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1736121600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1738540800000",
    "number": "1841009677",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "148 LINWOOD DR",
            "city": "PARAGOULD",
            "state": "AR",
            "postal_code": "724504077",
            "telephone_number": "870-520-8761",
            "fax_number": "870-573-8133"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "75 HIGHWAY 62 412 STE L",
            "city": "ASH FLAT",
            "state": "AR",
            "postal_code": "725139629",
            "telephone_number": "870-243-6292"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "148 Linwood Dr",
            "address_purpose": "LOCATION",
            "city": "Paragould",
            "state": "AR",
            "postal_code": "724504077",
            "country_code": "US",
            "telephone_number": "870-520-8761",
            "fax_number": "870-573-8133",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "308 E 7th St",
            "address_purpose": "LOCATION",
            "city": "Mountain Home",
            "state": "AR",
            "postal_code": "726534416",
            "country_code": "US",
            "telephone_number": "870-701-1821",
            "fax_number": "870-701-0110",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "NASH",
        "first_name": "KRYSTA",
        "middle_name": "RENAE",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2025-01-06",
        "last_updated": "2025-02-03",
        "certification_date": "2025-02-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR4036",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ash Flat, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.