MR. CEDRIC D WATTS (NPI# 1245463769) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1245463769 |
| Entity Type | Individual |
| Full Name | MR. CEDRIC D WATTS |
| Credential | OTR/L, LMT |
| Practice Address |
7500 Dollarway Rd Suite 301 White Hall AR 71602-3027 |
| Mailing Address |
3902 S Fir St Pine Bluff AR 71603-6233 |
| Practice Telephone | 8703299626 |
| Practice Fax Number | 8705345912 |
| Mailing Telephone | 8703299626 |
| Mailing Fax Number | 8705345912 |
| Enumeration Date | 2009-09-01 |
| Last Update Date | 2010-08-24 |
| Gender Code | M |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225700000X | Massage Therapist | 6052 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Y | 225X00000X | Occupational Therapist | OTR 1983 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Street Address |
7500 DOLLARWAY RD SUITE 301 |
| City | WHITE HALL |
| State | AR |
| Zip Code | 71602-3027 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1902888720 | John E. Harris | Family Medicine | 7500 Dollarway Rd, Suite 104, White Hall, AR 71602-3027 | 2005-11-17 |
| 1295108892 | Michael Hanna | Occupational Therapy Assistant | 7500 Dollarway Rd, Suite 203, White Hall, AR 71602-3027 | 2015-11-04 |
| 1316256985 | Sleep Partners, LLC | Clinic/Center | 7500 Dollarway Rd, White Hall, AR 71602-3027 | 2010-09-30 |
| 1770899122 | Out of Knowhere Pllc | Massage Therapist | 7500 Dollarway Rd, Suite 301, White Hall, AR 71602-3027 | 2010-08-24 |
| 1932432135 | Montessa N Elkins | Physical Therapist | 7500 Dollarway Rd, Suite 107, White Hall, AR 71602 | 2009-09-08 |
| 1306097365 | Jefferson Hospital Association, Inc. | Clinic/Center | 7500 Dollarway Rd, Suite 404, White Hall, AR 71602-3027 | 2008-10-08 |
| 1568627537 | United Pain Care, White Hall | Anesthesiology | 7500 Dollarway Rd, White Hall, AR 71602-3027 | 2008-07-18 |
| 1962552760 | James Stephen Guffey | Physical Therapist | 7500 Dollarway Rd, Ste 107, White Hall, AR 71602 | 2007-01-12 |
| 1801901509 | Maher Alesali | Internal Medicine | 7500 Dollarway Rd, Suite 404, White Hall, AR 71602-3027 | 2006-08-20 |
| 1144269978 | Lee Andrew Davis Jr. | Internal Medicine | 7500 Dollarway Rd, Suite 301, White Hall, AR 71602-3027 | 2006-06-06 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1609399963 | Interventional Surgery Institute of White Hall LLC | Clinic/Center | 7211 Dollarway Road, White Hall, AR 71602 | 2017-07-19 |
| 1679935761 | Pain Treatment Centers of America, Pllc | Durable Medical Equipment & Medical Supplies | 7211 Dollarway Rd, White Hall, AR 71602 | 2016-03-28 |
| 1326450446 | Rafeek Hegazy | Anesthesiology | 202 Frankie Ln, White Hall, AR 71602 | 2014-05-22 |
| 1275873515 | Craig Paul Anderson | Preventive Medicine | 13-020 Kabrich Circle, Pine Bluff, AR 71602 | 2013-02-24 |
| 1124258553 | Shellia Anne Kornegay | Nurse Practitioner | 1515 West 42nd Street, Pine Bluff, AR 71602 | 2009-07-20 |
| 1275789109 | Sarah Allison Rushing | Speech-Language Pathologist | 1020 West Holland Avenue, White Hall, AR 71602 | 2008-08-12 |
| 1245438852 | White Hall School District | Local Education Agency (LEA) | 1020 West Holland, White Hall, AR 71602 | 2007-07-05 |
| 1972622652 | Dewey Charles Scarbrough | Physician Assistant | 109 Frankie Lane, White Hall, AR 71602 | 2007-03-27 |
| 1427126135 | Donna D Massey | Dentist | 7215 Sheridan Road, White Hall, AR 71602 | 2006-12-01 |
| Find all providers in zip 71602 | ||||
| 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 |
|---|---|---|---|---|
| 1265050447 | Bridget Furlong | Occupational Therapist | 2226 Barncy Lane, White Hall, AR 71602 | 2020-07-14 |
| 1942467311 | Linda M Leimbach | Occupational Therapist | 5079 Norrisville Rd, White Hall, MD 21161-9503 | 2008-05-21 |
| 1912513334 | Haley Dianne Burns | Occupational Therapist | 141 Chipmunk Dr, White Hall, AR 71602-4789 | 2020-09-21 |
| 1265913263 | Shannon Perry | Occupational Therapist | 9209 Dollarway Rd, White Hall, AR 71602-2616 | 2018-08-27 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1417556929 | Julia Zane Carter | Occupational Therapist | 198 Military Rd, Marion, AR 72364-1703 | 2020-10-26 |
| 1679171383 | Above and Beyond Mobile Therapy Pllc | Occupational Therapist | 510 Spriggs Rd, North Little Rock, AR 72118-2336 | 2020-10-14 |
| 1245838580 | Ciara Fleer | Occupational Therapist | 1408 Nixon Rd, Lavaca, AR 72941-3116 | 2020-10-09 |
| 1619584604 | Danyelle Durocher | Occupational Therapist | 1301 North Museum Rd, Conway, AR 72032 | 2020-09-24 |
| 1013524180 | Destination Education, LLC | Occupational Therapist | 503 Galina St, Beebe, AR 72012-3812 | 2020-09-23 |
| 1700492287 | Darby L Durel | Occupational Therapist | 2102 Woodway Dr, Texarkana, AR 71854-8282 | 2020-09-19 |
| 1073128526 | Emma Joyce Kinsey | Occupational Therapist | 12075 Seba Rd, Centerton, AR 72719-9009 | 2020-09-11 |
| 1609488758 | Kaylin Gene Cripps | Occupational Therapist | 302 W 2nd St, Gentry, AR 72734-5502 | 2020-08-20 |
| 1376151316 | Lydia Christene Dickson | Occupational Therapist | 198 Little River 128, Foreman, AR 71836-8520 | 2020-07-15 |
| 1780200782 | Arkansas Physical Therapy Services of Conway, LLC | Occupational Therapist | 4550 Prince St, Conway, AR 72034-8077 | 2020-06-25 |
| Find all providers with the same taxonomy | ||||
| City | WHITE HALL |
| Zip Code | 71602 |
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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.