ASHLEY ANNE FORTNER (NPI# 1164739512) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1164739512 |
| Entity Type | Individual |
| Full Name | ASHLEY ANNE FORTNER |
| Credential | OT |
| Practice Address |
17706 I-30 Ste 3 Benton AR 72019-2930 |
| Practice Telephone | 5013154414 |
| Practice Fax Number | 5013153467 |
| Mailing Telephone | 5013154414 |
| Mailing Fax Number | 5013153467 |
| Enumeration Date | 2010-09-07 |
| Last Update Date | 2010-09-07 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | OTR2372 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
17706 I-30 STE 3 |
| City | BENTON |
| State | AR |
| Zip Code | 72019-2930 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1881761666 | Juli Ann Schluckebier | Physical Therapist | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2006-11-29 |
| 1336560341 | Emily Newton | Student in an Organized Health Care Education/Training Program | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2013-12-17 |
| 1992065304 | Laura Michelle Byrd | Physical Therapy Assistant | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2012-05-18 |
| 1942568183 | Amy Ward | Physical Therapy Assistant | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2012-04-25 |
| 1376810440 | Meghan E Dayer | Occupational Therapist | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2011-11-17 |
| 1740561596 | Shannon Michelle Justice | Physical Therapist | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2011-09-07 |
| 1952697054 | Katie Elizabeth Teutsch | Speech-Language Pathologist | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2011-06-27 |
| 1164718268 | Megan Nicole Smith | Speech-Language Pathologist | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2011-06-27 |
| 1326334566 | Noel Jean Hutcheson | Speech-Language Pathologist | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2011-06-27 |
| 1548556616 | Kari Elizabeth Harper | Occupational Therapy Assistant | 17706 I-30 Ste 3, Benton, AR 72019-2930 | 2011-06-27 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841898293 | Arkansas Heart Hospital LLC | General Acute Care Hospital | 1901 Encore Way, Bryant, AR 72019 | 2020-10-16 |
| 1306485545 | Ryan Adams | Pharmacist | 20820 I-30 North, Benton, AR 72019 | 2020-01-06 |
| 1649819962 | Josh Landrum | Pharmacist | 20820 I 30 N, Benton, AR 72019 | 2020-01-03 |
| 1710525720 | Melanie Mabry | Nurse Practitioner | 11510 State Highway 298, Benton, AR 72019 | 2019-12-20 |
| 1578086864 | Ronald Winkler | Occupational Therapy Assistant | 2907 Hurricane Lake Rd, Bryant, AR 72019 | 2017-07-19 |
| 1801243357 | Richard Andrew Dwiggins | Social Worker | 1718 Old Hot Springs Highway, Benton, AR 72019 | 2016-05-14 |
| 1184008377 | Kroger Limited Partnership I | Durable Medical Equipment & Medical Supplies | 2080 I-30 North, Benton, AR 72019 | 2015-07-17 |
| 1689910051 | Rachel Cloud | Physical Therapist | 2010 Activeway, Benton, AR 72019 | 2012-12-12 |
| 1538444583 | Stacy Ann Harris | Specialist | 403 Demuth Lane, Benton, AR 72019 | 2011-10-20 |
| 1144528423 | Robert Mark Robinson | Licensed Practical Nurse | 5 Hickory Ridge Drive, Benton, AR 72019 | 2011-03-10 |
| Find all providers in zip 72019 | ||||
| Taxonomy Code | 225X00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapist |
| An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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, added source] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003341900 | Taralee Reeves | Occupational Therapist | 1306 Military Rd Ste 1, Benton, AR 72015-2732 | 2017-04-28 |
| 1093266538 | Mallory Moix | Occupational Therapist | 17706 Interstate 30 N, Suite 3, Benton, AR 72019-2907 | 2016-10-19 |
| 1881142917 | Dana Sollars | Occupational Therapist | 207 W Conway St, Benton, AR 72015-3727 | 2016-09-19 |
| 1033580923 | Danielle Kay Freeman | Occupational Therapist | 959 Crouch Rd, Benton, LA 71006-4330 | 2015-10-17 |
| 1336525831 | Effaney Crain | Occupational Therapist | 11468 State Highway 37, Benton, IL 62812-4402 | 2015-08-06 |
| 1285027490 | Dream Big Pediatric Therapies | Occupational Therapist | 3701 Kayce Ln, Benton, AR 72019-0912 | 2015-03-12 |
| 1871986976 | Mariah Stubblefield | Occupational Therapist | 14840 State Highway 14, Benton, IL 62812-4712 | 2015-03-12 |
| 1700275864 | Susan C Padgett | Occupational Therapist | 321 Mount Moriah Rd, Benton, KY 42025-6944 | 2015-01-13 |
| 1225426661 | Melinda Davis | Occupational Therapist | 2301 Indian Valley, Benton, AR 72019-8212 | 2015-01-08 |
| 1649515495 | Cassie Fleming | Occupational Therapist | 147 Corinth Rd, Benton, KY 42025-5921 | 2012-12-05 |
| 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.