Active NPI
Emerge Therapy Services
- Speech-Language Pathologist
- Bentonville, AR
National Provider Identifier
1033744958
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | |||
| Physical Therapist | 225100000X | |||
| Occupational Therapist | 225X00000X | |||
| Speech-Language Pathologist | 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| SOAP URL | www.therapynotes.com | Health Information Exchange (HIE) | |
| SOAP URL | www.fusionemr.com |
National Provider Directory
National Provider DirectoryLocations
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.