Braci Edmondson, COTA/L
Occupational Therapy Assistant in Fort Smith, AR. Individual provider (NPI-1).
NPI number1245824952
StatusActive
Last updated in NPPESJun 28, 2022
Details
- NPI
- 1245824952
- Entity type
- Individual (NPI-1)
- Name
- Braci Edmondson
- Credential
- COTA/L
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Feb 23, 2021
- Certification date
- Jun 28, 2022
- Last updated
- Jun 28, 2022
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 | OT-A1600 | AR | Yes |
| 224Z00000X | Occupational Therapy Assistant | – | – |
Other names
- Braci Cook (Former Name)
Practice location
5400 Euper LnFort Smith, AR 72903
Phone 479-755-6601
Mailing address
5400 Euper LnFort Smith, AR 72903
Phone 870-336-8100
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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.
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All 43 Occupational Therapy Assistant providers in Fort Smith · All 3,840 providers in Fort Smith
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