MRS. JENNIE BREANNE TIDWELL OTR/L
NPI 1114159688
Occupational Therapist in Carlisle, AR

Active since August 18, 2009
821 E PARK ST, CARLISLE, AR 72024(870) 552-7110(870) 552-7115 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Mrs. Jennie Breanne Tidwell Otr/l NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

MRS. JENNIE BREANNE TIDWELL OTR/L (NPI 1114159688) is an individual occupational therapist in Carlisle, Arkansas, licensed in Arkansas (OTR2314) and active in the NPI registry since August 2009.

NPPES Registry Identity

NPI1114159688
Entity TypeIndividualFemale
Primary Taxonomy225X00000X
Provider Legal NameMRS. JENNIE BREANNE TIDWELLCredential: OTR/L
Location Address821 E PARK STCarlisle, AR 72024-9024
Mailing Address18 Ponderosa DrLonoke, AR 72086-3603 · (501) 920-6808 · Fax (870) 552-7115
Fax(870) 552-7115
Sole ProprietorNo
Enumeration DateAugust 18, 2009
Last NPPES UpdateJanuary 11, 2013
NPI 1114159688 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational TherapistRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code225X00000X
License Licensed in AR · OTR2314
Definition
An occupational therapist is a person who has graduated from an entry-level occupational therapy program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, or approved by the World Federation of Occupational Therapists (WFOT), or an equivalent international occupational therapy education program; has successfully completed a period of supervised fieldwork experience required by the occupational therapy program; has passed a nationally recognized entry-level examination for occupational therapists, and fulfills state requirements for licensure, certification, or registration. An occupational therapist provides interventions based on evaluation and 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 therapists 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.
821 E PARK ST, Carlisle, AR 72024

Other Names 1

Professional Name (2)Breanne Tidwell Otr/l

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Clinic/Center (Physical Therapy)
821 E PARK ST
CARLISLE, AR 72024
Pharmacist
821 E PARK ST
CARLISLE, AR 72024
Pharmacy (Community/Retail Pharmacy)
821 E PARK ST
CARLISLE, AR 72024
Dietitian, Registered
821 E PARK ST
CARLISLE, AR 72024
Physical Therapist
821 E PARK ST
CARLISLE, AR 72024
Occupational Therapist
821 E PARK ST
CARLISLE, AR 72024

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Jennie Tidwell's NPI number?

The NPI number for Jennie Tidwell is 1114159688. It was assigned to this individual provider in the NPPES registry on August 18, 2009. The provider is also known as Breanne Tidwell Otr/L.

Where is Jennie Tidwell located?

Jennie Tidwell practices at 821 E Park St, Carlisle, AR 72024. The listed phone number is (870) 552-7110.

What is Jennie Tidwell's specialty?

The primary specialty registered for this NPI is Occupational Therapist with taxonomy code 225X00000X.

When was this NPI record last updated?

The NPPES record for Jennie Tidwell was last updated on January 11, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.