Active NPI
Whitley Bunch
- Occupational Therapist
- Farmington, AR
National Provider Identifier
1942991161
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Occupational Therapist
- License
- OTR3763
- Practice address
- 120 Southwinds Rd Ste 120
Farmington, AR 72730-8652 - Phone
- (479) 300-6400
- Fax
- (479) 316-0372
- NPI assigned
- May 18, 2023
- Last updated
- May 10, 2024
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapist | 225X00000X | OTR3763 | AR | Primary |
Addresses
Primary practice location
120 Southwinds Rd Ste 120
Farmington, AR 72730-8652
Mailing address
3127 Southwest Dr
Jonesboro, AR 72404-8404
Phone (870) 932-3600
Other names 1
- Whitley Wolf
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in TX
Enrollment records 1
Care Compare profile
Medicare Care Compare- Specialty
- Occupational Therapist in Private Practice
- Education
- Other, 2022
- Medicare assignment
- May accept Medicare assignment
Practice addresses (Care Compare)
PO Box
Suite 1069
Tahlequah, OK 74465
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR3763 | AR | MD | Occupational Therapist |
| 5688 | OK | MD | Medical Physician Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Cherokee Nation | Current | Accepting new patients | |
| Cherokee Nation | Current | 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.
-
dba Cherokee Nation Public Health
- Public Health or Welfare Agency
- Tahlequah, OK
- NPI 1013884154
-
- Multi-Specialty Clinic/Center
- Nowata, OK
- NPI 1891703716
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1684368000000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1715299200000",
"number": "1942991161",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3127 SOUTHWEST DR",
"city": "JONESBORO",
"state": "AR",
"postal_code": "724048404",
"telephone_number": "870-932-3600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "120 SOUTHWINDS RD STE 120",
"city": "FARMINGTON",
"state": "AR",
"postal_code": "727308652",
"telephone_number": "479-300-6400",
"fax_number": "479-316-0372"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BUNCH",
"first_name": "WHITLEY",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2023-05-18",
"last_updated": "2024-05-10",
"certification_date": "2024-05-10",
"status": "A"
},
"taxonomies": [
{
"code": "225X00000X",
"taxonomy_group": "",
"desc": "Occupational Therapist",
"state": "AR",
"license": "OTR3763",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"first_name": "WHITLEY",
"last_name": "WOLF",
"code": "1",
"type": "Former Name"
}
]
}Other providers in Farmington, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2024; 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.