Square One Ot - Occupational Therapist in Bentonville, AR

Square One Ot is a Occupational Therapist - Pediatrics based in Bentonville, Arkansas. Square One Ot is licensed to practice in * (Not Available) (license number ) and their current practice location is 1202 Ne Mcclain Rd Bldg 7, Bentonville, Arkansas. It can be reached at their office (for appointments etc.) via phone at (573) 213-9467.

NPI number for Square One Ot is 1124783998 and their current mailing address is 21 Chelsea Ln, Bella Vista, Arkansas. Square One Ot does not participate in medicare program and thus does not accept medicare assignments. The facility's NPI Number is 1124783998.

Contact Information

Square One Ot
1202 Ne Mcclain Rd Bldg 7,
Bentonville, AR 72712-3875
(573) 213-9467
Not Available



Healthcare Provider's Profile

Full NameSquare One Ot
TypeFacility
SpecialityOccupational Therapist - Pediatrics
Location1202 Ne Mcclain Rd Bldg 7, Bentonville, Arkansas
Accepts Medicare AssignmentsDoes not participate in Medicare Program. The facility may not accept medicare assignment.
  NPI Data:
  • NPI Number: 1124783998
  • Provider Enumeration Date: 11/05/2021
  • Last Update Date: 11/05/2021

Medical Identifiers

Medical identifiers for Square One Ot such as npi, medicare ID, medicare PIN, medicaid, etc.
IdentifierTypeStateIssuer
1124783998NPI-NPPES

Medical Taxonomies and Licenses

TaxonomyTypeLicense (State)Status
2251P0200XPhysical Therapist - Pediatrics (* (Not Available))Secondary
225XP0200XOccupational Therapist - Pediatrics (* (Not Available))Primary
235Z00000XSpeech-language Pathologist (* (Not Available))Secondary

Medicare Part D Prescriber Enrollment

Any physician or other eligible professional who prescribes Part D drugs must either enroll in the Medicare program or opt out in order to prescribe drugs to their patients with Part D prescription drug benefit plans. Square One Ot is NOT enrolled with medicare and thus cannot prescribe medicare part D drugs to patients with medicare part D benefits.

Mailing Address and Practice Location

Mailing AddressPractice Location Address
Square One Ot
21 Chelsea Ln,
Bella Vista, AR 72715-6522

Ph: (573) 213-9467
Square One Ot
1202 Ne Mcclain Rd Bldg 7,
Bentonville, AR 72712-3875

Ph: (573) 213-9467

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› Verified 6 days ago


Occupational Therapist in Bentonville, AR

Tabitha Dawn Cooper, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713
Phone: 479-795-1260    Fax: 479-795-1261
Mrs. Callie Antuna, OTR
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Tiger Blvd, Bentonville, AR 72712
Phone: 479-254-5065    
Dr. Olivia Claire Brown, OTD, OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 1601 Greenhouse Rd, Bentonville, AR 72713
Phone: 479-795-1260    
Mr. Kevin Timothy Lucas, OTRL
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 3102 Nw Alberta, Bentonville, AR 72712
Phone: 479-685-3404    
Maggie B Grymes, OTD
Occupational Therapist
Medicare: Medicare Enrolled
Practice Location: 3201 Sw Regency Pkwy Ste 5, Bentonville, AR 72712
Phone: 479-252-3321    
Molly Mcgehee,
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 2713 Se I St Ste 5, Bentonville, AR 72712
Phone: 479-250-4355    Fax: 479-250-4355
Lauren Vavra, MS OTR/L
Occupational Therapist
Medicare: Not Enrolled in Medicare
Practice Location: 500 Tiger Blvd, Bentonville, AR 72712
Phone: 501-317-7880    

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