Rachel Bradford, COTA
Occupational Therapy Assistant in Pine Bluff, AR. Individual provider (NPI-1).
NPI number1124173992
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1124173992
- Entity type
- Individual (NPI-1)
- Name
- Rachel Bradford
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 24, 2007
- Last updated
- Jul 8, 2007
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 224Z00000X | Occupational Therapy Assistant | O-T0647 | AR | Yes |
Practice location
2915 S Hazel StPine Bluff, AR 71603-5008
Phone 870-535-0010
Mailing address
707 Eldridge Ave EWynne, AR 72396-4032
Phone 870-208-8989
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This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Occupational Therapy Assistant providers in Pine Bluff, AR
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