Paula Conway

Primary specialty

Occupational Therapy AssistantTaxonomy code 224Z00000X

License

OT-A1860 Issued in AR

Practice address

1807 W Moline St
Malvern, AR 72104-2645

Phone

(501) 467-3166

NPI assigned

Jul 26, 2022

Sex

Female

Sole proprietor

Yes

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Not enrolled

State licenses

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

{
    "created_epoch": "1658793600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658793600000",
    "number": "1972239531",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "721 W MAPLE ST",
            "city": "BENTON",
            "state": "AR",
            "postal_code": "720154137"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1807 W MOLINE ST",
            "city": "MALVERN",
            "state": "AR",
            "postal_code": "721042645",
            "telephone_number": "501-467-3166"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "CONWAY",
        "first_name": "PAULA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2022-07-26",
        "last_updated": "2022-07-26",
        "certification_date": "2022-07-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A1860",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Community Care RX
• Community Care RX LLC
• Community Care RX LLC
• David Conley, MAINTENANCE AIDE
• Doris Gail Conway, LPN
• Teresa Cook, PROGRAM TECH./MHPP
• Yvonne S Cook, LCSW
• George C Cora, OD
• Edward T Costello, P.A.
• Leah Harmon Costello, PA

• Occupational Therapy Assistant in Malvern, AR
• Providers in Malvern, AR by specialty
• Occupational Therapy Assistant in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2022; 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.