Personal Therapy of Northeast Ark

Primary specialty

Developmental Disabilities Clinic/CenterTaxonomy code 261QD1600X

License

I08IN178 Issued in AR

Legal business name

PERSONAL THERAPY OF NORTHEAST ARK

Practice address

1801 Grant Ave
Jonesboro, AR 72401-6155

Phone

(870) 974-9114

Fax

(870) 974-9184

NPI assigned

Dec 3, 2008

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Gina DeuterNPI 1508816760

Title

Owner

Phone

(870) 974-9114

Specialties & licenses 1

Addresses

Locations

Practitioners 2

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Gina Renea Deuter, MCD CCC-SLP

  • Speech-Language Pathologist
  • Jonesboro, AR
  • NPI 1508816760
  NPD Authorized official
• Andrea Duvall

  • Occupational Therapist
  • Paragould, AR
  • NPI 1124307582
  NPD

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1228262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1013152180",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9114",
            "fax_number": "870-974-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9114",
            "fax_number": "870-974-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL THERAPY OF NORTHEAST ARK",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-12-03",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "DEUTER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-974-9114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "261QD1600X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Developmental Disabilities",
            "state": "AR",
            "license": "I08IN178",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Beverly Veronica Perry, LPC
• Judy Perry
• Kaidaija T Perry
• Tawana Michelle Perry, CRT
• Richard E Person, M.D.
• Personal Therapy of Northeast Arkansas, Inc.
• Amanda Marie Peters, COTA
• James Peters
• Lawrence Carlton Peters, CRNA
• Hannah Camille Pettit, MHPP

• Developmental Disabilities Clinic/Center in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Developmental Disabilities Clinic/Center in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.