Individual provider Active NPI

Rachel Reif, COTA

  • Occupational Therapy Assistant
  • Mayflower, AR
National Provider Identifier
1902638281
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A2042 Issued in AR
Practice address
582 Highway 365 Ste 3
Mayflower, AR 72106-9525
Phone
(501) 470-3500
Fax
(501) 470-3502
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A2042 AR Primary

Addresses

Primary practice location

582 Highway 365 Ste 3
Mayflower, AR 72106-9525

Mailing address

582 Highway 365 Ste 3
Mayflower, AR 72106-9525
Phone (501) 470-3500

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)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-A2042ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
TTJ, Inc PastSince Aug 18, 2024 Accepting new patients
Nea Therapy Providers, LLC Occupational Therapy Assistant Past Accepting new patients
TTJ Inc. PastSince Aug 18, 2024 Accepting new patients

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, 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": "1723680000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1723680000000",
    "number": "1902638281",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "582 HIGHWAY 365 STE 3",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721069525",
            "telephone_number": "501-470-3500",
            "fax_number": "501-470-3502"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "582 HIGHWAY 365 STE 3",
            "city": "MAYFLOWER",
            "state": "AR",
            "postal_code": "721069525",
            "telephone_number": "501-470-3500",
            "fax_number": "501-470-3502"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "REIF",
        "first_name": "RACHEL",
        "credential": "COTA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A2042",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mayflower, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; 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.