Jessica Ann Walthall, OT-A
NPI 1891930475ActiveIndividual· Occupational Therapy Assistant· Lake Village, AR
Occupational Therapy Assistant (OT-A) in Lake Village, Arkansas, licensed in AR, with an NPI issued in December 2008.
Overview
| NPI | 1891930475 |
|---|---|
| Status | Active |
| Entity type | Individual |
| Credential | OT-A |
| Sole proprietor | Yes |
| NPI issued | Dec 10, 2008 |
| Last updated in NPPES | Nov 24, 2020 |
| Certified by provider | Nov 24, 2020 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Occupational Therapy Assistant Primary | 224Z00000X | OTA543 | AR |
| Specialist | 174400000X | OT0864 | AR |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Oct 9, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 10, 2026 | No match | — |
| New York OMIG · Nov 10, 2026 | No match | — |
| Ohio Medicaid · Nov 10, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 10, 2026 | No match | — |
| Washington HCA · Nov 10, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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