Jordan Lindsey Pervis

Occupational Therapy Assistant · Benton, AR

Individual Active NPI

NPI number 1083132740

Practice location

17706 I 30 Ste 3
Benton, AR 72019-2930
Phone
(501) 315-4414

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NPI record

NPI
1083132740
Entity type
Individual (Type 1)
Enumeration date
September 1, 2017
Last updated
September 1, 2017
Sole proprietor
Yes

Specialties & taxonomy codes

TaxonomyCodeLicenseState
Occupational Therapy Assistant Primary 224Z00000X OT-A1237 AR

About Jordan Pervis

Jordan Lindsey Pervis is a healthcare provider registered in the NPI registry with the primary taxonomy Occupational Therapy Assistant (code 224Z00000X). The practice location is 17706 I 30 Ste 3, Benton, AR 72019-2930. The NPI number 1083132740 was assigned on September 1, 2017 and the record was last updated on September 1, 2017.

Jordan Pervis lists a license in the registry: #OT-A1237 (AR) for Occupational Therapy Assistant. License numbers are self-reported to NPPES; verify them with the state licensing board.

Frequently asked questions

What is the NPI number of Jordan Lindsey Pervis?

The NPI number is 1083132740.

What is the phone number of Jordan Pervis?

The phone number listed for the practice location is (501) 315-4414.

Where is Jordan Pervis located?

17706 I 30 Ste 3, Benton, AR 72019-2930.

What is the taxonomy code for Jordan Pervis?

The primary taxonomy code is 224Z00000X – Occupational Therapy Assistant.

Is this information correct?

All details come from the public NPPES registry. Providers can update their record at nppes.cms.hhs.gov; changes appear here after the next weekly update.

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