BRENNA KELLEY (NPI# 1063999787) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1063999787 |
| Entity Type | Individual |
| Full Name | BRENNA KELLEY |
| Credential | COTA/L |
| Practice Address |
22461 Interstate 30 S Ste 301 Benton AR 72022-2382 |
| Mailing Address |
1115 Anemone Dr North Little Rock AR 72117-9789 |
| Practice Telephone | 5018472555 |
| Enumeration Date | 2018-07-25 |
| Last Update Date | 2018-07-25 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT-A711 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
22461 INTERSTATE 30 S STE 301 |
| City | BENTON |
| State | AR |
| Zip Code | 72022-2382 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922608868 | Lindsay Paige Macphee | Behavior Technician | 22461-i-30 Frontage Road, Bryant, AR 72022 | 2020-10-29 |
| 1952913469 | Kaleigh Angleton | Pharmacist | 5500 Ar-5, Bryant, AR 72022 | 2020-08-18 |
| 1851937254 | Lonnell O Seamster Sr. | Nurse Practitioner | 501 Woody Drive, Alexander, AR 72022 | 2019-11-20 |
| 1366098998 | Hannah Marie London | Occupational Therapist | 350 School Drive, Bryant, AR 72022 | 2019-08-09 |
| 1356996987 | Micah Self | Occupational Therapy Assistant | 200 Nw 4th Street, Bryant, AR 72022 | 2019-08-09 |
| 1114437548 | Samantha Lee Davis | Behavioral Analyst | 22461 I-30 Frontage Rd, 1100b, Bryant, AR 72022 | 2017-10-12 |
| 1164962171 | Healthcare Express, LLP | Clinic/Center | 23150 I-30 N, Bryant, AR 72022 | 2017-02-24 |
| 1205283223 | V & S Xpress LLC | Non-emergency Medical Transport (VAN) | 719 Sedgefield, Bryant, AR 72022 | 2016-05-19 |
| 1467877969 | Arkansas Maxillofacial Surgery Center | Dentist | 411 Office Park Dr, Bryant, AR 72022 | 2014-02-20 |
| 1558614511 | Melissa Robertson | Audiologist | 501 Jack Stephens Dr #547-05, Little Rock, AR 72022 | 2012-10-16 |
| Find all providers in zip 72022 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1649725367 | Jessica Mountjoy | Occupational Therapy Assistant | 6808 Grayson Dr, Benton, AR 72019-9763 | 2016-08-23 |
| 1427434885 | Melissia Chapman | Occupational Therapy Assistant | 3107 Leanna Ln, Benton, AR 72015-6278 | 2015-08-07 |
| 1326425968 | Sarah Ottens | Occupational Therapy Assistant | 5738 George Washington Dr, Benton, AR 72019-8730 | 2015-05-04 |
| 1538592068 | Kristin Barber | Occupational Therapy Assistant | 7616 Carrie Dr, Benton, AR 72019-1659 | 2013-08-20 |
| 1225304629 | Anna Elizabeth Button | Occupational Therapy Assistant | 610 Hwy 5 N, Benton, AR 72019-8559 | 2012-03-29 |
| 1992091086 | Laura Elizabeth Mcdonald | Occupational Therapy Assistant | 521 W Narroway St, Benton, AR 72015-3649 | 2011-06-27 |
| 1013201607 | Kayla Daniels | Occupational Therapy Assistant | 17706 Interstate 30 N Ste 3, Benton, AR 72019-2930 | 2011-06-01 |
| 1063660322 | Cassidy Lee Deatley | Occupational Therapy Assistant | 1926 Oak Level Rd, Benton, KY 42025-5322 | 2008-08-28 |
| 1447419031 | Mary Jane Darnell | Occupational Therapy Assistant | 2607 Main Street, Benton, KY 42025 | 2008-06-09 |
| 1184223349 | Candace Faye Titus | Occupational Therapy Assistant | 17706 Interstate 30 N Ste 3, Benton, AR 72019-2930 | 2020-10-20 |
| Find all providers in BENTON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.