MRS. KRYSTAL RENEE EUBANKS (NPI# 1750440517) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1750440517 |
| Entity Type | Individual |
| Full Name | MRS. KRYSTAL RENEE EUBANKS |
| Practice Address |
9210 Trail Run Rd Sherwood AR 72120-9422 |
| Mailing Address |
9006 Patricia Lynn Ln Sherwood AR 72120-3052 |
| Practice Telephone | 5018344100 |
| Mailing Telephone | 5017331483 |
| Enumeration Date | 2006-12-07 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 225X00000X | Occupational Therapist | 2051 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| AR | 160499721 | 05 | |
| AR | BLUE CROSS BLUE SHIELD | 5Y915 | 01 |
| Street Address |
9210 TRAIL RUN RD |
| City | SHERWOOD |
| State | AR |
| Zip Code | 72120-9422 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265404917 | Just for Kids Therapy Services | Specialist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-02-06 |
| 1144457458 | Marla Denise Gardner | Occupational Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2009-06-12 |
| 1871640433 | Rachael Anne Adams | Physical Therapy Assistant | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2007-01-05 |
| 1922162718 | Rebekah Greene Lowery | Physical Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-12-19 |
| 1346303005 | Erin Sandefur | Speech-Language Pathologist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-12-17 |
| 1417025263 | Marcilyn Renee Kennedy | Speech-Language Pathologist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-12-01 |
| 1457421042 | Just for Kids Therapy Services | Physical Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-11-09 |
| 1740363431 | Amy Powers | Physical Therapist | 9210 Trail Run Rd, Sherwood, AR 72120-9422 | 2006-10-24 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1215409818 | Mary Kaye Hill | Physical Therapist | 6020 Warden Road, Sherwood, AR 72120 | 2018-12-20 |
| 1043714694 | Healthcare Express, LLP | Clinic/Center | 1554 Country Club Road, Sherwood, AR 72120 | 2018-03-20 |
| 1265957690 | Darryl Nathaniel Griffith | Massage Therapist | 9871 Brockington Road, Suite #1, Sherwood, AR 72120 | 2017-08-07 |
| 1669841011 | Sarah Katherine Stephenson | Pharmacist | 102 Brockington Rd, Sherwood, AR 72120 | 2015-09-16 |
| 1063803328 | The Legacy for Children and Families | Counselor | 190 Jan Drive, Suite #10, Sherwood, AR 72120 | 2015-02-09 |
| 1417297235 | Andrew Hunter Beavers | Counselor | 37 Walton Rd., Sherwood, AR 72120 | 2013-02-15 |
| 1003156886 | Infinity Hearing Center Inc. | Hearing Aid Equipment | 3115 E Kiehl Ave, Suite B, Sherwood, AR 72120 | 2013-02-15 |
| 1548543234 | Lorrie Ann George | Early Intervention Provider Agency | 207 Fred Rains Drive, Sherwood, AR 72120 | 2011-09-20 |
| 1033411897 | Tessa Monique Davis | Occupational Therapist | 21 Gunstock Lane, North Little Rock, AR 72120 | 2010-11-30 |
| 1720307903 | Yousef Arfan Fahoum | Psychologist | 2215 Wildwood Ave Ste 200, Sherwood, AR 72120 | 2010-05-27 |
| Find all providers in zip 72120 | ||||
| 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 |
|---|---|---|---|---|
| 1093375610 | Premere Rehab LLC | Occupational Therapist | 16872 Sw Edy Rd, Sherwood, OR 97140-9146 | 2019-06-17 |
| 1831754290 | Alyssa Beaver | Occupational Therapist | 815 Koehler Ave, Sherwood, AR 72120-5929 | 2019-05-01 |
| 1083845150 | Christa Leanne Tacker | Occupational Therapist | 301 N Beverly Ave, Sherwood, AR 72120-4666 | 2009-08-06 |
| 1730122235 | Denese Estep | Occupational Therapist | 4 Ridgewell Ct, Sherwood, AR 72120-3167 | 2006-06-13 |
| 1467403766 | Pediatric Therapy of Arkansas | Occupational Therapist | 108 Horseshoe Dr, Sherwood, AR 72120-3433 | 2006-05-12 |
| 1861092603 | Abigail Rose Boehm | Occupational Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-10-30 |
| 1366042533 | Katelyn Elizabeth Lacy | Occupational Therapist | 2201 Wildwood Ave, Sherwood, AR 72120-5074 | 2020-10-27 |
| 1659990802 | Leslie Kaye Garrett | Occupational Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2020-04-08 |
| 1891356101 | Caroline Louise Montague | Occupational Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2019-06-26 |
| 1497217418 | Courtney Mavis Jahner | Occupational Therapist | 1540 Country Club Rd, Sherwood, AR 72120-5095 | 2019-04-01 |
| Find all providers in SHERWOOD | ||||
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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.