Provider Demographics
NPI:1942314893
Name:OCCUPATIONAL THERAPY SERVICES INC.
Entity Type:Organization
Organization Name:OCCUPATIONAL THERAPY SERVICES INC.
Other - Org Name:KIDSENSE THERAPY CLINIC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:H
Authorized Official - Last Name:PIERONI
Authorized Official - Suffix:
Authorized Official - Credentials:OT
Authorized Official - Phone:870-265-3950
Mailing Address - Street 1:316 MAIN ST.
Mailing Address - Street 2:
Mailing Address - City:LAKE VILLAGE
Mailing Address - State:AR
Mailing Address - Zip Code:71653
Mailing Address - Country:US
Mailing Address - Phone:870-265-3950
Mailing Address - Fax:870-265-2525
Practice Address - Street 1:316 MAIN ST.
Practice Address - Street 2:
Practice Address - City:LAKE VILLAGE
Practice Address - State:AR
Practice Address - Zip Code:71653
Practice Address - Country:US
Practice Address - Phone:870-265-3950
Practice Address - Fax:870-265-2525
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-08-18
Last Update Date:2020-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR774174400000X
225XP0200X
ARSP1285235Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Multi-Specialty
No174400000XOther Service ProvidersSpecialistGroup - Multi-Specialty
No235Z00000XSpeech, Language and Hearing Service ProvidersSpeech-Language PathologistGroup - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AR5F521OtherABCBS
AR138916742Medicaid