Active NPI
Autumn Dainielle Horton, OT
- Occupational Therapist
- Sherwood, AR
National Provider Identifier
1861870826
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR3582
- Practice address
- 1540 Country Club Rd
Sherwood, AR 72120-5095 - Phone
- (501) 753-5459
- NPI assigned
- May 11, 2015
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3582 | AR | Primary |
Addresses
Primary practice location
1540 Country Club Rd
Sherwood, AR 72120-5095
Mailing address
1540 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 753-5459
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20240417001671 | AR | Practitioner - Occupational Therapist in Private Practice | 8426497959 |
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2021
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
1909 Hinson Loop Rd
Little Rock, AR 72212-3903
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Physical Therapy Institute | Current | Accepting new patients |
Locations
1 Chenal Heights Dr
Little Rock, AR 72223
Phone (201) 301-4530
1909 Hinson Loop Rd
Ste 100
Little Rock, AR 72212
Phone (501) 563-9412
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.
-
- Physical Therapy Clinic/Center
- Little Rock, AR
- NPI 1497077648
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1431302400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1636934400000",
"number": "1861870826",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1540 COUNTRY CLUB RD",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205095",
"telephone_number": "501-753-5459"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1540 COUNTRY CLUB RD",
"city": "SHERWOOD",
"state": "AR",
"postal_code": "721205095",
"telephone_number": "501-753-5459"
}
],
"practiceLocations": [],
"basic": {
"last_name": "HORTON",
"first_name": "AUTUMN",
"middle_name": "DAINIELLE",
"credential": "OT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2015-05-11",
"last_updated": "2021-11-15",
"certification_date": "2021-11-15",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR3582",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Sherwood, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 15, 2021; 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.