JAYLIN BROCK (NPI# 1740841261) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740841261 |
| Entity Type | Individual |
| Full Name | JAYLIN BROCK |
| Practice Address |
1500 Wilson Loop Ward AR 72176-8656 |
| Practice Telephone | 5015883211 |
| Practice Fax Number | 5013532599 |
| Mailing Telephone | 5015883211 |
| Mailing Fax Number | 5013532599 |
| Enumeration Date | 2019-06-25 |
| Last Update Date | 2019-07-08 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT-A1507 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 234095721 | 05 |
| Street Address |
1500 WILSON LOOP |
| City | WARD |
| State | AR |
| Zip Code | 72176-8656 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134185937 | Allied Therapy and Consulting Services, Pa | Specialist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2006-04-21 |
| 1811529589 | Stephanie Nicole Lobsiger | Physical Therapy Assistant | 1500 Wilson Loop, Ward, AR 72176-8656 | 2020-02-10 |
| 1528615994 | Hannah Murray | Speech-Language Pathologist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2019-08-21 |
| 1629587365 | Kristin Linton | Speech-Language Pathologist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2017-09-26 |
| 1245772011 | Chloe Bass | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2016-11-10 |
| 1922466127 | Katelyn Skarda | Occupational Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2016-02-02 |
| 1114397502 | Zachary Fendley | Occupational Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2015-09-29 |
| 1063889095 | Holly Peters | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2015-08-25 |
| 1225413495 | Alicia Billings | Massage Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2015-07-29 |
| 1952701021 | Brittany Jones | Physical Therapist | 1500 Wilson Loop, Ward, AR 72176-8656 | 2014-08-26 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134355043 | Beyond Boundaries | Occupational Therapist | 2195 Peyton Street, Ward, AR 72176 | 2009-06-05 |
| 1831389451 | Bobby Glenn Carpenter | Chiropractor | 11659 Arkansas Highway 38, Ward, AR 72176 | 2007-07-30 |
| 1073650008 | Mary Beth Stivers | Speech-Language Pathologist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2007-01-31 |
| 1881740538 | Mollie Gentry | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-01-26 |
| 1326361023 | Siobhan Carpenter | Speech-Language Pathologist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2010-03-09 |
| 1992936082 | Kele Elizabeth Wilson | Occupational Therapist | 1500 Wilson Loop Road, Ward, AR 72176 | 2009-08-06 |
| 1184865677 | Nicole C Himmelman | Physical Therapist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2009-03-13 |
| 1730320359 | Emily R Cheatham | Speech-Language Pathologist | 1500 Wilson Loop Rd, Ward, AR 72176 | 2009-03-11 |
| 1952521841 | Rita Gayle Sawyer | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-04-26 |
| 1518093095 | Kelly Truby | Speech-Language Pathologist | 1500 Wilson Loop Road, Ward, AR 72176 | 2007-02-26 |
| Find all providers in zip 72176 | ||||
| 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 |
|---|---|---|---|---|
| 1871953331 | David Mann | Occupational Therapy Assistant | 117 Foxwood Ln, Ward, AR 72176-9448 | 2016-02-26 |
| 1215082912 | Kari Walden | Occupational Therapy Assistant | 1500 Wilson Loop, Ward, AR 72176-8656 | 2007-01-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1346841756 | Hannah Beth Johnston | Occupational Therapy Assistant | 970 County Road 753, Jonesboro, AR 72405-0232 | 2020-11-03 |
| 1801496559 | Kynlee Madison West | Occupational Therapy Assistant | 101 N Munn St, Warren, AR 71671-2951 | 2020-10-30 |
| 1023618915 | Rachel Erin Columbus | Occupational Therapy Assistant | 8823 Barber St, Sherwood, AR 72120-2981 | 2020-10-29 |
| 1114532553 | Rachael Masters | Occupational Therapy Assistant | 115 N Fulton St, Clarksville, AR 72830-3020 | 2020-09-12 |
| 1306459888 | Katlyn Elizabeth Young | Occupational Therapy Assistant | 5532 John F Kennedy Blvd, North Little Rock, AR 72116-6708 | 2020-08-25 |
| 1588276208 | Jessica Brooke Yocum | Occupational Therapy Assistant | 3902 Sw Boulder St Apt 27, Bentonville, AR 72713-8496 | 2020-08-24 |
| 1093326068 | Bonnie Allyson Dillon | Occupational Therapy Assistant | 419 W 3rd St, Corning, AR 72422-2754 | 2020-08-13 |
| 1548870744 | Kayla Deann Pickett | Occupational Therapy Assistant | 1447 Columbia Road 29, Magnolia, AR 71753-8947 | 2020-08-03 |
| 1861001240 | Tamarah Janeice Wilson | Occupational Therapy Assistant | 619 Parkview St, Van Buren, AR 72956-2703 | 2020-07-30 |
| 1568070985 | Tarnesa Nicole Ramnarine | Occupational Therapy Assistant | 121 Little River 248, Ogden, AR 71853-9545 | 2020-07-22 |
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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.