Pediatric Therapy Works, LLC

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PEDIATRIC THERAPY WORKS, LLC

Practice address

401 County Road 111
Bono, AR 72416-8116

Phone

(870) 932-0786

NPI assigned

Jul 6, 2007

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Susan Martin, MCD, CCC-SLP

Title

Owner

Phone

(870) 932-0786

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1183680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1033317508",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "401 COUNTY ROAD 111",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168116",
            "telephone_number": "870-932-0786"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "401 COUNTY ROAD 111",
            "city": "BONO",
            "state": "AR",
            "postal_code": "724168116",
            "telephone_number": "870-932-0786"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY WORKS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-07-06",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "SUSAN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-932-0786",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MCD, CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Madison Jane Neldon
• Destiny Jayde Newman
• Zachary Tyler Norman, OTR/L
• Addyson Chamberlin Norvell
• George Patton, M.D.
• Madison Elizabeth Pickering
• Joseph Gabriel Poe
• Shannon Pogue, APRN
• Sawyer L Rascher
• Brittany Richardson

• Speech-Language Pathologist in Bono, AR
• Providers in Bono, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.