OrganizationActive
Creative Pediatric Occupational Therapy, Inc
NPI 1932172608 · Pediatric Occupational Therapist · Fayetteville, AR
Provider details
- NPI number
- 1932172608
- Entity type
- Organization
- Primary specialty
- Pediatric Occupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
- Organization subpart
- No
- Authorized official
- Ellen Bruce, President(479) 409-5067
- License
- OTR582 (AR)
Specialties & taxonomies
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Profile Score
Detailed profile(91/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
20 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
2474 E Joyce Blvd
Suite 3
Fayetteville, AR 72703-4519
Phone: (479) 409-5067
Fax: (479) 521-5439
Street-level locationGet directions
Mailing address
Po Box 778
Elkins, AR 72727-0778
Registry dates
- Enumerated
- 2006-02-10
- Last updated
- 2020-08-22
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.