Active NPI
James Corey Colbert, OTR/L
- Pediatric Occupational Therapist
- Rogers, AR
National Provider Identifier
1871559534
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR1941
- Practice address
- 2525 S Market St
Ste 100
Rogers, AR 72758-8163 - Phone
- (479) 770-5655
- Fax
- (479) 770-5656
- NPI assigned
- Apr 21, 2006
- Sex
- Male
- Sole proprietor
- Yes
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 |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR1941 | AR | Primary |
Addresses
Primary practice location
2525 S Market St
Ste 100
Rogers, AR 72758-8163
Mailing address
PO Box 1398
Lowell, AR 72745-1398
Phone (479) 770-5655
Other identifiers 2
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 5Y103 | Other | AR | BLUE CROSS BLUE SHEILD |
| 155213721 | Medicaid | AR |
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
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Nwa Orthospine Rehab Services Inc | Past | Accepting new patients |
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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.
-
- Physical Therapist
- Fayetteville, AR
- NPI 1821233438
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1145577600000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1460678400000",
"number": "1871559534",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 1398",
"city": "LOWELL",
"state": "AR",
"postal_code": "727451398",
"telephone_number": "479-770-5655",
"fax_number": "479-770-5656"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2525 S MARKET ST",
"address_2": "STE 100",
"city": "ROGERS",
"state": "AR",
"postal_code": "727588163",
"telephone_number": "479-770-5655",
"fax_number": "479-770-5656"
}
],
"practiceLocations": [],
"basic": {
"last_name": "COLBERT",
"first_name": "JAMES",
"middle_name": "COREY",
"credential": "OTR/L",
"sole_proprietor": "YES",
"sex": "M",
"enumeration_date": "2006-04-21",
"last_updated": "2016-04-15",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR1941",
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "BLUE CROSS BLUE SHEILD",
"identifier": "5Y103",
"state": "AR"
},
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "155213721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Rogers, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 15, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.