Individual provider Active NPI

Lee Ann Davis, OTRL

  • Occupational Therapist
  • Little Rock, AR
National Provider Identifier
1891870200
Registry record updated Sep 9, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR363 Issued in AR
Practice address
509 N Valentine St
Little Rock, AR 72205-4135
Phone
(501) 350-0819
Fax
(501) 664-2057
NPI assigned
Oct 25, 2006
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 9, 2010

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 OTR363 AR Primary

Addresses

Primary practice location

509 N Valentine St
Little Rock, AR 72205-4135

Mailing address

509 N Valentine St
Little Rock, AR 72205-4135
Phone (501) 350-0819

Other identifiers 2

IdentifierTypeStateIssuer
121955721MedicaidAR
5S829OtherARBCBS

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20210310001350 AR Practitioner - Occupational Therapist in Private Practice 8527474949 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 1986
Medicare assignment
May accept Medicare assignment
Group practices
Orthopedic Rehabilitation Centers LLCGroup PAC ID 3678560695, 10 clinicians
Premiere Physical Therapy and Sports Rehab LLCGroup PAC ID 9234236183, 16 clinicians

Practice addresses (Care Compare)

13100 Chenal Pkwy
Little Rock, AR 72211-5214
Phone (501) 975-4040

1600 SE J St
Suite 4
Bentonville, AR 72712-6804
Phone (479) 273-9933

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Premiere Physical Therapy and Sports Rehab LLC CurrentSince Aug 1, 2025 Accepting new patients
Orthopedic Rehabilitation Centers LLC CurrentSince Dec 8, 2020 Accepting new patients
Occupational Professional Sevices Inc. Past Accepting new patients

Locations

1600 SE J St
#4
Bentonville, AR 72712
Phone (479) 273-9933

1300 Braden St
Jacksonville, AR 72076
Phone (501) 985-5900

1300 Braden St
#C
Jacksonville, AR 72076
Phone (501) 241-1000

13100 Chenal Pkwy
Little Rock, AR 72211
Phone (501) 975-1915

Organizations & group practices 3

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": "1161734400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1283990400000",
    "number": "1891870200",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 N VALENTINE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054135",
            "telephone_number": "501-350-0819",
            "fax_number": "501-664-2057"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 N VALENTINE ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722054135",
            "telephone_number": "501-350-0819",
            "fax_number": "501-664-2057"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "DAVIS",
        "first_name": "LEE",
        "middle_name": "ANN",
        "credential": "OTRL",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2006-10-25",
        "last_updated": "2010-09-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121955721",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5S829",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 9, 2010; 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.