Individual provider Active NPI

Sara Fairbanks Israel, OTR/L

  • Occupational Therapist
  • Conway, AR
National Provider Identifier
1962182964
Registry record updated May 7, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2200 Bruce Street Suite 1
Conway, AR 72035-0001
Phone
(501) 470-7457
NPI assigned
Jul 24, 2023
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 7, 2025

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 Primary

Addresses

Primary practice location

2200 Bruce Street Suite 1
Conway, AR 72035-0001

Mailing address

108 Fountain Ave
Little Rock, AR 72205-5912

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20250519002333 AR Practitioner - Occupational Therapist in Private Practice 1254859762 Reassigns benefits to 1 organization

Care Compare profile

Medicare Care Compare
Specialty
Occupational Therapist in Private Practice
Education
Other, 2019
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices

Practice addresses (Care Compare)

8901 Carti Way
Little Rock, AR 72205-6523
Phone (501) 906-3000

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled

Practice roles

OrganizationSpecialtyStatusNew patients
Central Arkansas Radiation Therapy Institute Inc CurrentSince Jun 23, 2025 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Occupational Therapist CurrentSince Jun 23, 2025 Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Current Accepting new patients
Central Arkansas Radiation Therapy Institute Inc Past Accepting new patients

Locations

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

2605 College Ave
Conway, AR 72034
Phone (501) 327-2995

8901 Carti Way
Little Rock, AR 72205
Phone 50190630003044

Organizations & group practices 4

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1690156800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1746576000000",
    "number": "1962182964",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "108 FOUNTAIN AVE",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722055912"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2200 BRUCE STREET SUITE 1",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720350001",
            "telephone_number": "501-470-7457"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ISRAEL",
        "first_name": "SARA",
        "middle_name": "FAIRBANKS",
        "credential": "OTR/L",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2023-07-24",
        "last_updated": "2025-05-07",
        "certification_date": "2025-05-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Conway, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 7, 2025; 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.

Verify at the official NPI Registry.