Individual provider Active NPI

Amber Brasher, OT

  • Occupational Therapist
  • Charleston, AR
National Provider Identifier
1992192140
Registry record updated Sep 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
Practice address
1919 Charmont Dr
Charleston, AR 72933-8910
Phone
(479) 965-6752
NPI assigned
Apr 24, 2015
Last updated
Sep 26, 2024By the provider in NPPES
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Sep 26, 2024

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

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X OT-A926 AR
Occupational Therapist 225X00000X AR Primary

Addresses

Primary practice location

1919 Charmont Dr
Charleston, AR 72933-8910

Mailing address

1919 Charmont Dr
Charleston, AR 72933-8910

Other practice location 1

2805 Alma Hwy
Van Buren, AR 72956-5021
Phone (479) 471-9600

Other identifiers 1

IdentifierTypeStateIssuer
207086721MedicaidAR

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-A926ARMDOccupational Therapy Assistant

Practice roles

OrganizationSpecialtyStatusNew patients
Western Arkansas Pediatric Rehab 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, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

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

{
    "created_epoch": "1429833600000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1727308800000",
    "number": "1992192140",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1919 CHARMONT DR",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729338910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1919 CHARMONT DR",
            "city": "CHARLESTON",
            "state": "AR",
            "postal_code": "729338910",
            "telephone_number": "479-965-6752"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2805 Alma Hwy",
            "address_purpose": "LOCATION",
            "city": "Van Buren",
            "state": "AR",
            "postal_code": "729565021",
            "country_code": "US",
            "telephone_number": "479-471-9600",
            "fax_number": "479-430-7596",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "last_name": "BRASHER",
        "first_name": "AMBER",
        "credential": "OT",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2015-04-24",
        "last_updated": "2024-09-26",
        "certification_date": "2024-09-26",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "224Z00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapy Assistant",
            "state": "AR",
            "license": "OT-A926",
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "207086721",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Charleston, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 26, 2024; 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.