Provider Demographics
NPI:1053291245
Name:CASTLEBERRY, BRYNN RHEA (OTD)
Entity type:Individual
Prefix:
First Name:BRYNN
Middle Name:RHEA
Last Name:CASTLEBERRY
Suffix:
Gender:F
Credentials:OTD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1030 KNOBLE APT 2
Mailing Address - Street 2:
Mailing Address - City:CONWAY
Mailing Address - State:AR
Mailing Address - Zip Code:72034-5056
Mailing Address - Country:US
Mailing Address - Phone:501-213-5563
Mailing Address - Fax:
Practice Address - Street 1:11801 FAIRVIEW RD
Practice Address - Street 2:
Practice Address - City:LITTLE ROCK
Practice Address - State:AR
Practice Address - Zip Code:72212-2406
Practice Address - Country:US
Practice Address - Phone:501-663-6965
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-09-06
Last Update Date:2025-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics