NIKKI SUMMERVILLE STIDHAM COTA/L
NPI 1154797611
Occupational Therapy Assistant in Berryville, AR

Active since August 18, 2015
705 W COLLEGE AVE, BERRYVILLE, AR 72616(870) 423-6122 Get Directions Write a Review

NPPES record last updated: June 9, 2022. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Nikki Summerville Stidham Cota/l NPPES

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

NIKKI SUMMERVILLE STIDHAM COTA/L (NPI 1154797611) is an individual occupational therapy assistant in Berryville, Arkansas, licensed in Arkansas (OT-A952) and active in the NPI registry since August 2015.

NPPES Registry Identity

NPI1154797611
Entity TypeIndividualFemale
Primary Taxonomy224Z00000X
Provider Legal NameNIKKI SUMMERVILLE STIDHAMCredential: COTA/L
Location Address705 W COLLEGE AVEBerryville, AR 72616-3105
Mailing Address8 Twin Peak DrHoliday Island, AR 72631-4233
Sole ProprietorNo
Enumeration DateAugust 18, 2015
Last NPPES UpdateJune 9, 2022
NPPES CertifiedJune 1, 2022
NPI 1154797611 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyOccupational Therapy AssistantRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Taxonomy Code224Z00000X
License Licensed in AR · OT-A952
Definition
An occupational therapy assistant is a person who has graduated from an occupational therapy assistant program accredited by the Accreditation Council for Occupational Therapy Education (ACOTE) or predecessor organizations, has successfully completed a period of supervised fieldwork experience required by the accredited occupational therapy assistant program, has passed a nationally recognized entry-level examination for occupational therapy assistants, and fulfills state requirements for licensure, certification, or registration. An occupational therapy assistant provides interventions under the supervision of an occupational therapist 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 therapy assistants 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.
705 W COLLEGE AVE, Berryville, AR 72616

Other Identifiers 1

Medicaid206702795AR

Other Providers at the Same Location NPPES 3

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

Occupational Therapy Assistant
705 W COLLEGE AVE
BERRYVILLE, AR 72616
Day Training, Developmentally Disabled Services
705 W COLLEGE AVE
BERRYVILLE, AR 72616
Occupational Therapist
705 W COLLEGE AVE
BERRYVILLE, AR 72616

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 Nikki Stidham's NPI number?

The NPI number for Nikki Stidham is 1154797611. It was assigned to this individual provider in the NPPES registry on August 18, 2015.

Where is Nikki Stidham located?

Nikki Stidham practices at 705 W College Ave, Berryville, AR 72616. The listed phone number is (870) 423-6122.

What is Nikki Stidham's specialty?

The primary specialty registered for this NPI is Occupational Therapy Assistant with taxonomy code 224Z00000X.

When was this NPI record last updated?

The NPPES record for Nikki Stidham was last updated on June 9, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.