Individual provider Active NPI

Hannah Jane Carmack, OTD OTR/L

  • Occupational Therapist
  • North Little Rock, AR
National Provider Identifier
1851990253
Registry record updated Oct 19, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3422 Issued in AR
Practice address
304 Sorenson St
North Little Rock, AR 72118-3473
Phone
(501) 246-5191
NPI assigned
Oct 19, 2020
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 19, 2020

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 OTR3422 AR Primary

Addresses

Primary practice location

304 Sorenson St
North Little Rock, AR 72118-3473

Mailing address

1950 Erbach St Apt 306
Conway, AR 72034-6843
Phone (870) 476-5321

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)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR3422ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Alptp, PLLC CurrentSince Oct 22, 2020 Accepting new patients

Locations

119 W H Ave
North Little Rock, AR 72116
Phone (501) 772-3224

304 Sorenson St
North Little Rock, AR 72118
Phone (501) 246-5191

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.

NPI Registry JSON

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

{
    "created_epoch": "1603065600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1603065600000",
    "number": "1851990253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1950 ERBACH ST APT 306",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346843",
            "telephone_number": "870-476-5321"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "304 SORENSON ST",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721183473",
            "telephone_number": "501-246-5191"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CARMACK",
        "first_name": "HANNAH",
        "middle_name": "JANE",
        "credential": "OTD OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2020-10-19",
        "last_updated": "2020-10-19",
        "certification_date": "2020-10-18",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3422",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in North Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 19, 2020; 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.