MATTIA PAGE (NPI# 1972022366) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1972022366 |
| Entity Type | Individual |
| Full Name | MATTIA PAGE |
| Practice Address |
3998 Highway 1 N Forrest City AR 72335-7637 |
| Mailing Address |
Po Box 2192 Forrest City AR 72336-2192 |
| Practice Telephone | 8706331737 |
| Practice Fax Number | 8706331738 |
| Mailing Telephone | 8702088362 |
| Mailing Fax Number | 8706331737 |
| Enumeration Date | 2017-09-17 |
| Last Update Date | 2020-02-19 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 373H00000X | Day Training/Habilitation Specialist | Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 41521 W 11 Mile Rd, Novi, MI 483751803 | 2482990030 |
| Street Address |
3998 HIGHWAY 1 N |
| City | FORREST CITY |
| State | AR |
| Zip Code | 72335-7637 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285653436 | Pamela Lewis Kipkulei | Occupational Therapist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2006-07-19 |
| 1154938116 | Kids for The Future Therapy Group, Inc. | Behavioral Analyst | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-09-24 |
| 1023644895 | Shanneka Barber | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-03-12 |
| 1457985236 | Piper Reeves | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-03-02 |
| 1942834056 | Sarah Boyer | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-02-27 |
| 1902439805 | Caryn Mcclanahan | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-02-19 |
| 1861025751 | Ginger Gahr | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-02-19 |
| 1558924530 | Genie Spencer | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2019-04-16 |
| 1558829002 | Kristy Swindle | Occupational Therapist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2019-03-04 |
| 1831676923 | Brooklyn Wheeler | Licensed Practical Nurse | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2018-07-23 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1285112888 | Briana Lanay Hatcher | Specialist/Technologist | 801 Deadrick Rd., Forrest City, AR 72335 | 2018-08-06 |
| 1922545383 | Kimberly Burnett | Speech-Language Pathologist | 400 Dawson Rd., Forrest City, AR 72335 | 2017-01-24 |
| 1134510951 | Kaylee Marple | Occupational Therapy Assistant | 726 North Washington St, Forrest City, AR 72335 | 2015-02-16 |
| 1033534185 | My Ride Transportation 2, LLC. | Non-emergency Medical Transport (VAN) | 224 Bond Dr., Forrest City, AR 72335 | 2014-02-26 |
| 1457796187 | Katherine Elizabeth Ramsey | Occupational Therapy Assistant | 3326 Highway 1 South, Forrest City, AR 72335 | 2013-05-08 |
| 1902158785 | Brittany Nicole Mitchell | Speech-Language Pathologist | 149 Water St., Lincoln Middle School, Forrest City, AR 72335 | 2012-10-04 |
| 1114278058 | Ashley Danielle Busby | Speech-Language Pathologist | 801 Deadrick Road, Forrest City, AR 72335 | 2012-10-01 |
| 1548569585 | East Arkansas Physical Therapy | Clinic/Center | 3150 N Washington, Forrest City, AR 72335 | 2011-03-16 |
| 1487801007 | David George Boyles | Psychologist | 3998 Highway 1 North, Forrest City, AR 72335 | 2008-08-26 |
| 1255515581 | Shontel Denise Wilson | Speech-Language Pathologist | 300 Eldridge Rd, Suite 1, Forrest City, AR 72335 | 2007-12-21 |
| Find all providers in zip 72335 | ||||
| Taxonomy Code | 373H00000X |
| Grouping | Nursing Service Related Providers |
| Classification | Day Training/Habilitation Specialist |
| Individuals experienced or trained in working with developmentally disabled individuals who need assistance in acquiring and maintaining life skills that enable them to cope more effectively with the demands of independent living. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1023644895 | Shanneka Barber | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-03-12 |
| 1457985236 | Piper Reeves | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-03-02 |
| 1942834056 | Sarah Boyer | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-02-27 |
| 1902439805 | Caryn Mcclanahan | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-02-19 |
| 1861025751 | Ginger Gahr | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2020-02-19 |
| 1558924530 | Genie Spencer | Day Training/Habilitation Specialist | 3998 Highway 1 N, Forrest City, AR 72335-7637 | 2019-04-16 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396375796 | Diana L Beck | Day Training/Habilitation Specialist | 1008 W Childress St, Morrilton, AR 72110-1708 | 2020-01-24 |
| 1538677869 | Regina Sloan | Day Training/Habilitation Specialist | 920 University Dr, Russellville, AR 72801-4303 | 2018-01-22 |
| 1194230169 | Amanda Morgan | Day Training/Habilitation Specialist | 272 School Ave, West Fork, AR 72774-3124 | 2017-12-12 |
| 1396268090 | Dawn Bridges | Day Training/Habilitation Specialist | 3920 Woodland Heights Road, Little Rock, AR 72223 | 2017-07-25 |
| 1871016923 | Emily A Huddleston | Day Training/Habilitation Specialist | 1801 N Buerkle St, Stuttgart, AR 72160-2519 | 2017-07-20 |
| 1255866604 | Race Cunningham | Day Training/Habilitation Specialist | 2871 American St, Springdale, AR 72764-6938 | 2017-04-24 |
| 1619417896 | Amy Pinkston | Day Training/Habilitation Specialist | 149 Old Trestle Ln, Batesville, AR 72501-9597 | 2017-03-07 |
| 1891155719 | Karen Hartsfield | Day Training/Habilitation Specialist | 524 Self Ln, Newark, AR 72562-9615 | 2016-03-04 |
| 1821458738 | Sarah Sexton | Day Training/Habilitation Specialist | 1334 Red Deer Trl, Salem, AR 72576-5510 | 2016-03-04 |
| 1063885002 | Jaime Smith | Day Training/Habilitation Specialist | 56 Buck Ln, Poughkeepsie, AR 72569-9150 | 2015-11-12 |
| Find all providers with the same taxonomy | ||||
| City | FORREST CITY |
| Zip Code | 72335 |
Please comment or provide details below to improve the information on MATTIA PAGE.
| 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.