Individual provider Active NPI

Jordan Greer, M.S., OTR/L

  • Occupational Therapist
  • Conway, AR
National Provider Identifier
1972962264
Registry record updated Jul 21, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
2740 College Ave
Conway, AR 72034-6141
Phone
(501) 329-5459
NPI assigned
Feb 16, 2016
Sex
Male
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Jul 21, 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 Primary

Addresses

Primary practice location

2740 College Ave
Conway, AR 72034-6141

Mailing address

2740 College Ave
Conway, AR 72034-6141
Phone (501) 329-5459

Other practice location 1

956 Mathias Dr
Springdale, AR 72762-0985
Phone (479) 419-9911

Other practice location 2

1540 Country Club Rd
Sherwood, AR 72120-5095
Phone (501) 753-5459

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
Credentials
Master of Science

Practice roles

OrganizationSpecialtyStatusNew patients
Wendy Cassady Speech Pathology, 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": "1455580800000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1658361600000",
    "number": "1972962264",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2740 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346141",
            "telephone_number": "501-329-5459"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2740 COLLEGE AVE",
            "city": "CONWAY",
            "state": "AR",
            "postal_code": "720346141",
            "telephone_number": "501-329-5459"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "956 Mathias Dr",
            "address_purpose": "LOCATION",
            "city": "Springdale",
            "state": "AR",
            "postal_code": "727620985",
            "country_code": "US",
            "telephone_number": "479-419-9911",
            "fax_number": "479-419-5595",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1540 Country Club Rd",
            "address_purpose": "LOCATION",
            "city": "Sherwood",
            "state": "AR",
            "postal_code": "721205095",
            "country_code": "US",
            "telephone_number": "501-753-5459",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "GREER",
        "first_name": "JORDAN",
        "credential": "M.S., OTR/L",
        "sole_proprietor": "YES",
        "sex": "M",
        "enumeration_date": "2016-02-16",
        "last_updated": "2022-07-21",
        "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 Jul 21, 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.