Active NPI
Heavenly Therapy Services, LLC
- Pediatrics Physician
- Fort Smith, AR
National Provider Identifier
1023715208
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Pediatrics Physician
- Legal business name
- HEAVENLY THERAPY SERVICES, LLC
- Practice address
- 8103 Bear Hollow Rd
Fort Smith, AR 72916-7416 - Phone
- (479) 650-2466
- NPI assigned
- Feb 8, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Angela Fisher, OTR/L
- Title
- Occupational Therapist
- Phone
- (479) 650-2466
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Pediatrics Physician | 208000000X | Primary |
Addresses
Primary practice location
8103 Bear Hollow Rd
Fort Smith, AR 72916-7416
Mailing address
8103 Bear Hollow Rd
Fort Smith, AR 72916-7416
Phone (479) 650-2466
Other practice location 1
102 N Oak St
Hackett, AR 72937-4756
Phone (479) 638-8822
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1675814400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1692748800000",
"number": "1023715208",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "8103 BEAR HOLLOW RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729167416",
"telephone_number": "479-650-2466"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "8103 BEAR HOLLOW RD",
"city": "FORT SMITH",
"state": "AR",
"postal_code": "729167416",
"telephone_number": "479-650-2466"
}
],
"practiceLocations": [
{
"address_1": "102 N Oak St",
"address_purpose": "LOCATION",
"city": "Hackett",
"state": "AR",
"postal_code": "729374756",
"country_code": "US",
"telephone_number": "479-638-8822",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "HEAVENLY THERAPY SERVICES, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-02-08",
"last_updated": "2023-08-23",
"certification_date": "2023-08-23",
"status": "A",
"authorized_official_last_name": "FISHER",
"authorized_official_first_name": "ANGELA",
"authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
"authorized_official_telephone_number": "479-650-2466",
"authorized_official_credential": "OTR/L"
},
"taxonomies": [
{
"code": "208000000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Pediatrics",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Fort Smith, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.