LISA ANN EWALD (NPI# 1740503168) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1740503168 |
| Entity Type | Individual |
| Full Name | LISA ANN EWALD |
| Practice Address |
816 Fayetteville Rd Van Buren AR 72956-3423 |
| Mailing Address |
6524 Goines Dr Van Buren AR 72956-7920 |
| Practice Telephone | 4796293682 |
| Mailing Telephone | 4796293682 |
| Enumeration Date | 2010-03-12 |
| Last Update Date | 2019-08-29 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 224Z00000X | Occupational Therapy Assistant | OT-A1425 | AR | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 6601 Phoenix Ave, Suite B, Fort Smith, AR 729035092 | 4797859091 | 4797823415 |
| Street Address |
816 FAYETTEVILLE RD |
| City | VAN BUREN |
| State | AR |
| Zip Code | 72956-3423 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1184278616 | Abigail Abrey | Speech-Language Pathologist | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2019-08-01 |
| 1144873498 | Sarah Bird | Specialist/Technologist | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2019-07-16 |
| 1831602895 | Katie Renee Mckamie | Occupational Therapist | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2017-11-13 |
| 1265941884 | Kimberly A Fennell | Occupational Therapy Assistant | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2017-09-26 |
| 1932626215 | Kristina Anne Gordon | Physical Therapy Assistant | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2017-08-27 |
| 1023471612 | Brant Ramsey | Physical Therapy Assistant | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2016-03-31 |
| 1962885590 | Adair Ya, LLC | Speech-Language Pathologist | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2015-07-01 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1760092597 | Fort Smith Regional Dialysis Center, LLC | Clinic/Center | 256 Northridge Drive E, Van Buren, AR 72956 | 2020-08-06 |
| 1831678507 | Baptist Health Services | Family Medicine | 209 Pointer Trl W Ste A, Van Buren, AR 72956 | 2018-08-13 |
| 1235618992 | Baptist Health Services | Pediatrics | 209 Pointer Trl W Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1225517030 | Baptist Heath Services | Family Medicine | 14 Gothic Ridge Rd Ste B, Van Buren, AR 72956 | 2018-08-13 |
| 1255810206 | Baptist Health Services | Family Medicine | 14 Gothic Ridge Rd Ste A, Van Buren, AR 72956 | 2018-08-10 |
| 1407371339 | Allison Frazier | Speech-Language Pathologist | 2221 Pointer Trail East, Van Buren, AR 72956 | 2017-08-11 |
| 1225443104 | Arkansas Cvs Pharmacy, L.L.C. | Durable Medical Equipment & Medical Supplies | 2015 Fayetteville Road, Van Buren, AR 72956 | 2014-06-30 |
| 1629326210 | Natalie N. Fink | Speech-Language Pathologist | 1109 Fayetteville Rd., Van Buren, AR 72956 | 2012-08-29 |
| 1538490271 | Ronald Joel Yukon | Chiropractor | 2731 Rudy Road, Van Buren, AR 72956 | 2010-01-20 |
| 1568799864 | Fritzie Suggs | Occupational Therapist | 2233 Alma Hwy, Suite C, Van Buren, AR 72956 | 2009-11-06 |
| Find all providers in zip 72956 | ||||
| Taxonomy Code | 224Z00000X |
| Grouping | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Classification | Occupational Therapy Assistant |
| An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist which emphasize the therapeutic use of everyday life activities (i.e., occupations) with individuals or groups for the purpose of facilitating participation in roles and situations and in home, school, workplace, community and other settings. Occupational therapy services are provided for the purpose of promoting health and wellness and are provided to those who have or are at risk for developing an illness, injury, disease, disorder, condition, impairment, disability, activity limitation, or participation restriction. Occupational therapy assistants address the physical, cognitive, psychosocial, sensory, and other aspects of occupational performance in a variety of contexts to support engagement in everyday life activities that affect health, well-being, and quality of life. |
| Notes: Source: The Guide to Occupational Therapy Practice, 2nd edition. Bethesda: American Occupational Therapy Association, 2007. [7/1/2008: definition changed, source changed] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1861001240 | Tamarah Janeice Wilson | Occupational Therapy Assistant | 619 Parkview St, Van Buren, AR 72956-2703 | 2020-07-30 |
| 1376182618 | Christina Fontaine | Occupational Therapy Assistant | 402 Cedar Creek Dr, Van Buren, AR 72956-6518 | 2020-01-03 |
| 1740753623 | Lacy Michelle Medlin | Occupational Therapy Assistant | 2207 Park Ave, Van Buren, AR 72956-6932 | 2019-01-03 |
| 1932676798 | Stacey Nicole Bearden | Occupational Therapy Assistant | 913 N 24th St, Van Buren, AR 72956-3743 | 2018-10-30 |
| 1013421031 | Center for Child Development and Family Education | Occupational Therapy Assistant | 2010 Chestnut St Ste H, Van Buren, AR 72956-5340 | 2017-11-29 |
| 1720522543 | Jessa May Geren | Occupational Therapy Assistant | 1109 Fayetteville Rd, Van Buren, AR 72956-3363 | 2016-12-13 |
| 1194121780 | Tiffanie Rader | Occupational Therapy Assistant | 10411 T.r. 114, Van Buren, OH 45889 | 2014-11-10 |
| 1821615477 | Jessica Harris | Occupational Therapy Assistant | 1109 Fayetteville Rd, Van Buren, AR 72956-3363 | 2020-06-30 |
| 1942761895 | Amber Parham | Occupational Therapy Assistant | 913 N 24th St, Van Buren, AR 72956-3743 | 2019-03-25 |
| 1265941884 | Kimberly A Fennell | Occupational Therapy Assistant | 816 Fayetteville Rd, Van Buren, AR 72956-3423 | 2017-09-26 |
| Find all providers in VAN BUREN | ||||
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| 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.