Provider Demographics
NPI:1528544749
Name:TINGEY, CHRIS (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHRIS
Middle Name:
Last Name:TINGEY
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHRISTOPHER
Other - Middle Name:
Other - Last Name:TINGEY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:PO DRAWER 2109
Mailing Address - Street 2:
Mailing Address - City:RUSSELLVILLE
Mailing Address - State:AR
Mailing Address - Zip Code:72811
Mailing Address - Country:US
Mailing Address - Phone:479-967-2322
Mailing Address - Fax:479-967-2876
Practice Address - Street 1:2877 W WALNUT ST STE 102
Practice Address - Street 2:
Practice Address - City:ROGERS
Practice Address - State:AR
Practice Address - Zip Code:72756-0336
Practice Address - Country:US
Practice Address - Phone:479-967-2332
Practice Address - Fax:479-967-2876
Is Sole Proprietor?:Yes
Enumeration Date:2018-07-11
Last Update Date:2023-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3086225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR228854721Medicaid