Organization Active NPI

Heavenly Therapy Services, LLC

  • Pediatrics Physician
  • Fort Smith, AR
National Provider Identifier
1023715208
Registry record updated Aug 23, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Pediatrics PhysicianTaxonomy code 208000000X
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

Updated by the provider on Aug 23, 2023

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

Authorized official

Name
Angela Fisher, OTR/LNPI 1194861294
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)CodeLicenseStatePrimary
Pediatrics PhysicianGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Practitioners & 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.

Verify at the official NPI Registry.