Active NPI
Julianne Patricia Braswell, O.T.R.
- Pediatric Occupational Therapist
- Johnson, AR
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatric Occupational Therapist
- License
- OTR1338
- Practice address
- 4301 Greathouse Springs Road
Johnson, AR 72741 - Phone
- (479) 200-6555
- NPI assigned
- May 23, 2007
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatric Occupational Therapist | 225XP0200X | OTR1338 | AR | Primary |
Addresses
Primary practice location
4301 Greathouse Springs Road
Johnson, AR 72741
Mailing address
5501 Willow Creek Dr
Ste 105
Springdale, AR 72762-8707
Phone (479) 575-9359
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 143862721 | Medicaid | AR |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| I20120523000193 | AR | Practitioner - Occupational Therapist in Private Practice | 9931362357 | Reassigns benefits to 2 organizations |
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| OTR1338 | AR | MD | Pediatric Occupational Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Pathfinder, Inc. | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Northwest Physicians LLC | Current | Accepting new patients | |
| Pathfinder, Inc. | Past | Accepting new patients |
Locations
2616 S Walton Blvd
Bentonville, AR 72712
905 N Redmond Rd
Jacksonville, AR 72076
Phone (501) 533-6302
2520 W Main St
Jacksonville, AR 72076
601 W Maple Ave
Ste 403
Springdale, AR 72764
Phone (479) 750-2742
5501 Willow Creek Dr
Ste 105
Springdale, AR 72762
Phone (479) 575-9359
Organizations & group practices 4
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.
-
- Developmentally Disabled Services Day Training Agency
- Jacksonville, AR
- NPI 1326004466
AR
-
- Durable Medical Equipment & Medical Supplies
- Springdale, AR
- NPI 1205137536
-
- Mental Health Clinic/Center (Including Community Mental Health Center)
- Jacksonville, AR
- NPI 1629035043
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1179878400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1484352000000",
"number": "1992915409",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "5501 WILLOW CREEK DR",
"address_2": "STE 105",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727628707",
"telephone_number": "479-575-9359",
"fax_number": "479-575-9415"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4301 GREATHOUSE SPRINGS ROAD",
"city": "JOHNSON",
"state": "AR",
"postal_code": "72741",
"telephone_number": "479-200-6555"
}
],
"practiceLocations": [],
"basic": {
"last_name": "BRASWELL",
"first_name": "JULIANNE",
"middle_name": "PATRICIA",
"name_prefix": "Mrs.",
"credential": "O.T.R.",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2007-05-23",
"last_updated": "2017-01-14",
"status": "A"
},
"taxonomies": [
{
"code": "225XP0200X",
"taxonomy_group": "",
"desc": "Occupational Therapist, Pediatrics",
"state": "AR",
"license": "OTR1338",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "143862721",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Johnson, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 14, 2017; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.