Organization Active NPI

Emerge Therapy Services

  • Speech-Language Pathologist
  • Bentonville, AR
National Provider Identifier
1033744958
Registry record updated Mar 11, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
Legal business name
EMERGE THERAPY SERVICES
Practice address
2713 SE I St Ste 5
Bentonville, AR 72712-0078
Phone
(479) 250-4355
Fax
(479) 553-7954
NPI assigned
Mar 11, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 11, 2020

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

Authorized official

Name
Linnea Heintz, LPC
Title
Program Services
Phone
(479) 250-4355

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Health CounselorGroup: 193200000X MULTI-SPECIALTY GROUP 101YM0800X
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X Primary

Addresses

Primary practice location

2713 SE I St Ste 5
Bentonville, AR 72712-0078

Mailing address

2713 SE I St Ste 5
Bentonville, AR 72712-0078
Phone (479) 250-4355

Electronic endpoints 2

TypeEndpointUseAffiliation
SOAP URL www.therapynotes.com Health Information Exchange (HIE)
SOAP URL www.fusionemr.com

National Provider Directory

National Provider Directory

Locations

2713 SE I St
Ste 5
Bentonville, AR 72712
Phone (479) 250-4355

NPI Registry JSON

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

{
    "created_epoch": "1583884800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1583884800000",
    "number": "1033744958",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2713 SE I ST STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727120078",
            "telephone_number": "479-250-4355",
            "fax_number": "479-553-7954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2713 SE I ST STE 5",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727120078",
            "telephone_number": "479-250-4355",
            "fax_number": "479-553-7954"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EMERGE THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-03-11",
        "last_updated": "2020-03-11",
        "certification_date": "2020-03-11",
        "status": "A",
        "authorized_official_last_name": "HEINTZ",
        "authorized_official_first_name": "LINNEA",
        "authorized_official_title_or_position": "PROGRAM SERVICES",
        "authorized_official_telephone_number": "479-250-4355",
        "authorized_official_credential": "LPC"
    },
    "taxonomies": [
        {
            "code": "101YM0800X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Counselor, Mental Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.therapynotes.com",
            "affiliation": "N",
            "endpointDescription": "MH EMR",
            "use": "HIE",
            "useDescription": "Health Information Exchange (HIE)",
            "address_1": "2713 SE I St Ste 5",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727120078",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "endpointType": "SOAP",
            "endpointTypeDescription": "SOAP URL",
            "endpoint": "www.fusionemr.com",
            "affiliation": "N",
            "address_1": "2713 SE I St Ste 5",
            "city": "Bentonville",
            "state": "AR",
            "country_code": "US",
            "postal_code": "727120078",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Bentonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 11, 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.