Kealey Loy Wyse, COTA
Occupational Therapy Assistant in Little Rock, AR. Individual provider (NPI-1).
NPI number1760639413
StatusActive
Last updated in NPPESAug 25, 2008
Details
- NPI
- 1760639413
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Kealey Loy Wyse
- Credential
- COTA
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Aug 25, 2008
- Last updated
- Aug 25, 2008
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-T0842 | AR | Yes |
Practice location
6520 Baseline RdSuite A
Little Rock, AR 72209-4732
Phone 501-570-4001
Mailing address
8724 Buck RdAlexander, AR 72002-9506
Phone 501-860-5775
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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 45 Occupational Therapy Assistant providers in Little Rock · All 15,826 providers in Little Rock
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