Individual provider Active NPI

Andree Nicole Morgan Ledbetter, OT

  • Occupational Therapist
  • Little Rock, AR
National Provider Identifier
1952064917
Registry record updated Jul 24, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR3583 Issued in AR
Practice address
1000 Mellon St
Little Rock, AR 72207-6143
Phone
(501) 627-4781
NPI assigned
Oct 18, 2021
Last updated
Jul 24, 2022By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Jul 24, 2022

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 OTR3583 AR Primary

Addresses

Primary practice location

1000 Mellon St
Little Rock, AR 72207-6143

Mailing address

1000 Mellon St
Little Rock, AR 72207-6143
Phone (501) 627-4781

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220105000710 AR Practitioner - Occupational Therapist in Private Practice 4789075524 Reassigns benefits to 2 organizations

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

State licenses

LicenseStateTypeSpecialty
OTR3583ARMDOccupational Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Select Rehabilitation, LLC Occupational Therapist CurrentSince Nov 13, 2023 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Sep 6, 2022 Accepting new patients
Brookfield Physical Rehabilitation, LLC CurrentSince Nov 13, 2023 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Sep 6, 2022 Accepting new patients
University of Central Arkansas Occupational Therapist PastSince Feb 13, 2022 Accepting new patients

Locations

2500 Highway 65 S
Clinton, AR 72031
Phone (501) 745-7000

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

9601 Baptist Health Dr
Ste 106
Little Rock, AR 72205

3400 Springhill Dr
North Little Rock, AR 72117
Phone (501) 603-8894

Organizations & group practices 5

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": "1634515200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658620800000",
    "number": "1952064917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1000 MELLON ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076143",
            "telephone_number": "501-627-4781"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1000 MELLON ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722076143",
            "telephone_number": "501-627-4781"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "LEDBETTER",
        "first_name": "ANDREE",
        "middle_name": "NICOLE MORGAN",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-10-18",
        "last_updated": "2022-07-24",
        "certification_date": "2022-07-24",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR3583",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 24, 2022; 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.