Independent US Healthcare Provider Directory & Public Medical Database
Active NPI 1174126338 Individual Practitioner Female Practitioner

Kelby Renee Nicholson , COTA

Occupational Therapy Assistant • West Memphis, AR

Professional Overview & Biography Verified Profile Summary

Kelby Nicholson, COTA is a registered healthcare professional specializing in Occupational Therapy Assistant in West Memphis, AR. Practice services are available at 610 N MISSOURI ST STE 1 under active NPI credentials.

Practice Location & Contact Primary Location

Practice Address

610 N Missouri St Ste 1

West Memphis, AR 723013148

Telephone 8704000179
Fax 8704000479
Associated Practice Facility / Clinic
🏢 Therapeutic Alliance Facility NPI 1003219510

Specialty Benchmarks & Practice Insights

Comparative analytics for Occupational Therapy Assistant in West Memphis, AR

Active Practitioner
Practitioner Clinical Experience
Active
City Avg: 10.5 Yrs
State Avg: 1.0 Yrs
Regional Practice Density
17 Specialists

Practicing in West Memphis, AR (1067 Statewide)

Telehealth Adoption Rate
0.0% Regional Adoption

In-Person Office Visits Only

Medicare Pricing Discount
67.4% Avg Savings

Under CMS Medicare Fee Schedule vs Standard Submitted Charges

Medical Specialties & State Licenses

CMS Verified: 2020-11-19
Occupational Therapy Assistant Primary Specialty

NUCC Taxonomy Code: 224Z00000X

State License AR OT-A1668

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.

Practice Associates & Co-Workers

Healthcare professionals and specialists practicing at this location or sharing practice phone/fax

25 Associated Practitioners
Zachary Baker , OTA

Occupational Therapy Assistant

NPI 1003531435
Whitney Joy , COTA, L

Occupational Therapy Assistant

NPI 1033452313

Certified Occupational Therapy Assistant, L

Bryce Newsome

Physical Therapist

NPI 1053785543
Abigail Carlson , MS, CF-SLP

Speech-Language Pathologist

NPI 1063846152

Master of Science, Clinical Fellow in Speech-Language Pathology

Alannah Conrey , COTA, L

Occupational Therapy Assistant

NPI 1073973756

Certified Occupational Therapy Assistant, L

Ashley Sloan , PTA

Physical Therapy Assistant

NPI 1093126104

Physical Therapist Assistant

Career & Practice History Timeline

Chronological log of verified NPI updates, location relocations, credentials, and registry changes

6 Historical Events
NPI Profile Active November 19, 2020

NPI status registered as active in NPPES database

📍
Updated Practice Location November 19, 2020

Registered at 610 N MISSOURI ST STE 1, WEST MEMPHIS, AR 723013148 (Tel: 8704000179)

📍
Updated Business Mailing Address November 19, 2020

Registered at 610 N MISSOURI ST STE 1, WEST MEMPHIS, AR 723013148 (Tel: 8704000179)

👤
Provider Name / Credentials Updated November 19, 2020

Recorded as KELBY NICHOLSON, COTA

🎓
Medical Taxonomy / Specialty Registered (Primary Specialty) November 19, 2020

Occupational Therapy Assistant (License #OT-A1668 in AR)

🟢
Initial NPI Registration & Enumeration November 19, 2020

First registered as active Individual Practitioner in NPPES Database.

Patient & Community Reviews

Verified patient ratings, medical care experiences, and facility photos

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NPI Administrative Meta

NPI Number: 1174126338
Entity Type:
Individual Provider Physician, Nurse Practitioner, or Solo Healthcare Professional (Type 1 NPI)
Enumeration Date: November 19, 2020
Last Update: November 19, 2020
Sole Proprietor: Yes

Mailing Address

610 N Missouri St Ste 1

West Memphis, AR 723013148

Phone: 8704000179

Public Domain Record This profile contains public domain information published by CMS and NPPES under the Freedom of Information Act (FOIA).
⚠️ Medical Disclaimer

This directory listing is for informational purposes only and does not constitute medical advice, diagnosis, or physician endorsement. If you are experiencing a medical emergency, please call 911 immediately.