NPI Code Detail JSON Logo

1518154764 NPI number — TARA LOUISA GARNER OTR/L

NPI Number: 1518154764
Health Care Provider/Practitioner: TARA LOUISA GARNER OTR/L

Information about “1518154764” NPI (TARA LOUISA GARNER OTR/L) exists in 1518154764 in HTML format HTML  |  1518154764 in plain Text format TXT  |  1518154764 in PDF (Portable Document Format) PDF  |  1518154764 in an XML format XML  formats.

NPI Number : 1518154764 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1518154764",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "GARNER",
    "FirstName": "TARA",
    "MiddleName": "LOUISA",
    "NamePrefix": "MISS",
    "NameSuffix": null,
    "Credential": "OTR/L",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": null,
    "OtherFirstName": null,
    "OtherMiddleName": null,
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": null,
    "FirstLineMailingAddress": "600 S MCKINLEY ST",
    "SecondLineMailingAddress": "SUITE 210",
    "MailingAddressCityName": "LITTLE ROCK",
    "MailingAddressStateName": "AR",
    "MailingAddressPostalCode": "72205-5202",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-664-4088",
    "MailingAddressFaxNumber": "501-978-2765",
    "FirstLinePracticeLocationAddress": "3417 MARKET PLACE AVE STE 400",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "BRYANT",
    "PracticeLocationAddressStateName": "AR",
    "PracticeLocationAddressPostalCode": "72022-8077",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-943-1681",
    "PracticeLocationAddressFaxNumber": "501-439-1682",
    "EnumerationDate": "10/02/2007",
    "LastUpdateDate": "12/14/2023",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225XH1200X",
          "TaxonomyName": "Hand Occupational Therapist",
          "LicenseNumber": "234991",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225X00000X",
          "TaxonomyName": "Occupational Therapist",
          "LicenseNumber": "2153",
          "LicenseNumberStateCode": "AR",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

Copyright © 2007-2025 Data Labs Health. All rights reserved.