Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cassidy Shannon Qualls, OTD

Individual provider Occupational Therapist · NPI 1609481167

Cassidy Shannon Qualls, OTD is an Occupational Therapist in Private Practice in Jonesboro, Arkansas. Qualified in 2020, 6 years ago. Practices with Reaper Physical Therapy Inc, a 25-clinician group and works from 2 locations.

Years since qualifying
6
In the registry since
2020
What do these letters mean?
OTD — Doctor of Occupational Therapy
The doctoral degree in occupational therapy.

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Practice location Address checks out

1107 E Matthews Ave Ste 105
Jonesboro, AR 72401-4315
Phone: (870) 333-5210
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 1107 E Matthews Ave Ste 100, Jonesboro, AR 72401-4331 — (870) 933-6393

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X

Record details

NPI number1609481167
Entity typeIndividual (Type 1)
GenderFemale
Credentials OTD
Sole proprietorNo
NPI enumeratedSeptember 11, 2020
Last updated in NPPESSeptember 11, 2020
Certification dateSeptember 11, 2020

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyOCCUPATIONAL THERAPIST IN PRIVATE PRACTICE
Medical schoolOTHER
Graduated 2020 (6 years in practice)
Group practice Reaper Physical Therapy Inc — 25 clinicians
Accepts Medicare assignment Not indicated

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