Kerissa Accetta

Primary specialty

Occupational TherapistTaxonomy code 225X00000X

License

OTR3198 Issued in AR

Practice address

5532 JFK Blvd
North Little Rock, AR 72116-6708

Phone

(501) 588-3211

Fax

(501) 353-2599

NPI assigned

Oct 8, 2018

Last updated

Jan 3, 2019By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Other identifiers 1

Medicare fee-for-service enrollment

Enrolled in AR

Enrollment records 1

Medicare enrollment (NPD)

Enrolled

Practice roles

Locations

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.

• Allied Therapy and Consulting Services, PA

  • Specialist
  • North Little Rock, AR
  • NPI 1134185937
  Medicare reassignment NPD
• Beyond Boundaries, Inc

  • Physical Therapist
  • Ward, AR
  • NPI 1134355043

  Occupational Therapist

  NPD (past)

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

{
    "created_epoch": "1538956800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1546473600000",
    "number": "1932674728",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211",
            "fax_number": "501-353-2599"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5532 JFK BLVD",
            "city": "NORTH LITTLE ROCK",
            "state": "AR",
            "postal_code": "721166708",
            "telephone_number": "501-588-3211",
            "fax_number": "501-353-2599"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ACCETTA",
        "first_name": "KERISSA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2018-10-08",
        "last_updated": "2019-01-03",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3198",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "230915721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Above and Beyond Mobile Therapy PLLC
• Pamela Renee Abrams, M.S.W.
• Elaina Absher
• Akef R. Abu-Rmaileh, MD
• Kareem Abuamrah, M.D
• Megan Elisabeth Acosta, DPT
• Active Mobility Supply, LLC.
• James Robert Adametz, MD
• Allison Evins Adams, PSYD
• Diamond Lashea Adams, PLMSW

• Occupational Therapist in North Little Rock, AR
• Providers in North Little Rock, AR by specialty
• Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2019; 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.