Laine Makenzie Burson

Individual provider Active NPI Occupational Therapy Assistant · El Dorado, AR

NPI 1982117248 · NPPES record last updated Nov 8, 2017

Key facts

NPI
1982117248
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
Practice address
214 Hope Landing
P.O. Box 10215
El Dorado, AR 71730
Phone
(870) 862-0500
Fax
(870) 862-2100
NPI assigned
Nov 8, 2017
Sex
Female
Sole proprietor
Yes

Organizations & group practices 2

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.

Medicare participation

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

National Provider Directory

Medicare enrollment (NPD)
No

Practice roles

OrganizationSpecialtyStatusNew patients
Hope Landing, Inc. Past Accepting new patients
Hope Landing, Inc. Occupational Therapy Assistant Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X Yes

Addresses

Primary practice location

214 Hope Landing
P.O. Box 10215
El Dorado, AR 71730

Mailing address

7957 Strong Hwy
Strong, AR 71765
Phone (870) 814-3385

Other providers in El Dorado, AR

All providers in El Dorado, AR · Occupational Therapy Assistant in Arkansas

Sources for this page

Verify at the official NPI Registry.