Individual provider Active NPI

Allyx Chelsea Howard, OT-A

  • Occupational Therapy Assistant
  • Fort Smith, AR
National Provider Identifier
1962861427
Registry record updated Feb 12, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational Therapy AssistantTaxonomy code 224Z00000X
License
OT-A1058 Issued in AR
Practice address
4516 Rogers Ave
Suite B-5
Fort Smith, AR 72903-3147
Phone
(479) 782-1444
Fax
(479) 782-1477
NPI assigned
Feb 12, 2016
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Feb 12, 2016

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-A1058 AR Primary

Addresses

Primary practice location

4516 Rogers Ave
Suite B-5
Fort Smith, AR 72903-3147

Mailing address

4516 Rogers Ave
Suite B-5
Fort Smith, AR 72903-3147
Phone (479) 782-1444

Other identifiers 1

IdentifierTypeStateIssuer
OT-A1058MedicaidAR

Medicare participation

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

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
OT-A1058ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
LPG, Inc. Past Accepting new patients

Organizations & group practices 1

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": "1455235200000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1455235200000",
    "number": "1962861427",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4516 ROGERS AVE",
            "address_2": "SUITE B-5",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033147",
            "telephone_number": "479-782-1444",
            "fax_number": "479-782-1477"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4516 ROGERS AVE",
            "address_2": "SUITE B-5",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729033147",
            "telephone_number": "479-782-1444",
            "fax_number": "479-782-1477"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "HOWARD",
        "first_name": "ALLYX",
        "middle_name": "CHELSEA",
        "credential": "OT-A",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2016-02-12",
        "last_updated": "2016-02-12",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1058",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "OT-A1058",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.