Individual provider Active NPI

Liza Kay Shaddy, COTA/L

  • Occupational Therapy Assistant
  • Mountain Home, AR
National Provider Identifier
1942105978
Registry record updated Oct 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A2251 Issued in AR
Practice address
1001 S Main St
Mountain Home, AR 72653-4763
Phone
(870) 421-1248
NPI assigned
Oct 9, 2026
Last updated
Oct 9, 2026By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Oct 9, 2026

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-A2251 AR Primary

Addresses

Primary practice location

1001 S Main St
Mountain Home, AR 72653-4763

Mailing address

91 Sweden CT
Mountain Home, AR 72653-5180
Phone (870) 421-2148

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

NPI Registry JSON

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

{
    "created_epoch": "1791504000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1791504000000",
    "number": "1942105978",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "91 SWEDEN CT",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726535180",
            "telephone_number": "870-421-2148"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1001 S MAIN ST",
            "city": "MOUNTAIN HOME",
            "state": "AR",
            "postal_code": "726534763",
            "telephone_number": "870-421-1248"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "SHADDY",
        "first_name": "LIZA",
        "middle_name": "KAY",
        "credential": "COTA/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-10-09",
        "last_updated": "2026-10-09",
        "certification_date": "2026-10-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A2251",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mountain Home, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.