Kids Therapy

Primary specialty

Exclusive Provider OrganizationTaxonomy code 302F00000X

Legal business name

KIDS THERAPY

Practice address

4124 W 11TH St
Little Rock, AR 72204-2008

Phone

(501) 612-4406

NPI assigned

Sep 24, 2014

Organization subpart

No

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

Authorized official

Name

Mrs. Antoinette Beaugard

Title

Owner

Phone

(501) 612-4406

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1411516800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1411516800000",
    "number": "1013319763",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4124 W 11TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042008",
            "telephone_number": "501-612-4406"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4124 W 11TH ST",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722042008",
            "telephone_number": "501-612-4406"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDS THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-09-24",
        "last_updated": "2014-09-24",
        "status": "A",
        "authorized_official_last_name": "BEAUGARD",
        "authorized_official_first_name": "ANTOINETTE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-612-4406",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "302F00000X",
            "taxonomy_group": "",
            "desc": "Exclusive Provider Organization",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kid Champion Holding LLC
• Kidd Kave Learning Center
• Anna Melissa Kidd, APRN-CNP
• Sheryl Kidd, QBHP
• Kidney Care Center, PLLC
• Kidschoice Therapeutic Services
• Krista Grace Kidwell, SLP
• Kidz Palace Therapy LLC
• Kidz Palace Therapy LLC
• Katherine Elizabeth Kiernan-Shafi, APRN

• Exclusive Provider Organization in Little Rock, AR
• Providers in Little Rock, AR by specialty
• Exclusive Provider Organization in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 24, 2014; 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.