Individual provider Active NPI

Kyle Hoffpauir, OTR

  • Occupational Therapist
  • Wynne, AR
National Provider Identifier
1902950181
Registry record updated Jul 22, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR 1671 Issued in AR
Practice address
6 County Road 7010
Wynne, AR 72396-8470
Phone
(870) 238-2233
NPI assigned
Jan 23, 2007
Last updated
Jul 22, 2009By the provider in NPPES
Sex
Male
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 22, 2009

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 OTR 1671 AR Primary

Addresses

Primary practice location

6 County Road 7010
Wynne, AR 72396-8470

Mailing address

6 County Road 7010
Wynne, AR 72396-8470
Phone (870) 238-2233

Other identifiers 2

IdentifierTypeStateIssuer
5X236OtherARBLUE CROSS & BLUE SHIELD
143676721MedicaidAR

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20200408002083 AR Practitioner - Occupational Therapist in Private Practice 0345676474 Reassigns benefits to 1 organization

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR 1671ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Therapy Possibilities, Inc. CurrentSince Feb 6, 2020 Accepting new patients

Locations

615 Canal Ave E
Wynne, AR 72396
Phone (870) 208-5961

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.

NPI Registry JSON

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

{
    "created_epoch": "1169510400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1248220800000",
    "number": "1902950181",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6 COUNTY ROAD 7010",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723968470",
            "telephone_number": "870-238-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6 COUNTY ROAD 7010",
            "city": "WYNNE",
            "state": "AR",
            "postal_code": "723968470",
            "telephone_number": "870-238-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOFFPAUIR",
        "first_name": "KYLE",
        "name_prefix": "Mr.",
        "credential": "OTR",
        "sole_proprietor": "NO",
        "sex": "M",
        "enumeration_date": "2007-01-23",
        "last_updated": "2009-07-22",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR 1671",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BLUE CROSS & BLUE SHIELD",
            "identifier": "5X236",
            "state": "AR"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "143676721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Wynne, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.