Amber Brasher, OT
Individual provider Active NPI Occupational Therapist · Charleston, AR
NPI 1992192140 · NPPES record last updated Sep 26, 2024
Key facts
- NPI
- 1992192140
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Occupational Therapist 225X00000X
- Practice address
- 1919 Charmont Dr
Charleston, AR 72933-8910 - Phone
- (479) 965-6752
- NPI assigned
- Apr 24, 2015
- Sex
- Female
- Sole proprietor
- No
Organizations & group practices 1
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OT-A926 | AR | MD | Occupational Therapy Assistant |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Western Arkansas Pediatric Rehab Inc. | Past | Accepting new patients |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Occupational Therapy Assistant | 224Z00000X | OT-A926 | AR | |
| Occupational Therapist | 225X00000X | AR | Yes |
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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 207086721 | Medicaid | AR |
Other providers in Charleston, AR
- Thomas Michael Abbott
- Tania Kay Barham
- Joann Michele Cain
- City of Charleston Supt of Schools District 9
- Cooper Clinic PA
- Cooper Clinic, PA
- Hannah Krystene Cox
All providers in Charleston, AR · Occupational Therapist in Arkansas
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 26, 2024. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.