Personal Therapy of Northeast Arkansas, Inc.

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

Legal business name

PERSONAL THERAPY OF NORTHEAST ARKANSAS, INC.

Doing business as

KidSPOT

Practice address

1801 Grant Ave
Jonesboro, AR 72401-6155

Phone

(870) 974-9114

Fax

(870) 974-9184

NPI assigned

May 10, 2006

Organization subpart

No

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

Authorized official

Name

Mrs. Gina Deuter

Title

Owner

Phone

(870) 974-9114

Specialties & licenses 1

Addresses

Other names 1

• KidSPOT Doing business as

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Andrea Duvall

  • Occupational Therapist
  • Paragould, AR
  • NPI 1124307582
  NPD

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

{
    "created_epoch": "1147219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1565049600000",
    "number": "1053361477",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1801 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9114",
            "fax_number": "870-974-9184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1801 GRANT AVE",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724016155",
            "telephone_number": "870-974-9114",
            "fax_number": "870-974-9184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PERSONAL THERAPY OF NORTHEAST ARKANSAS, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-05-10",
        "last_updated": "2019-08-06",
        "status": "A",
        "authorized_official_last_name": "DEUTER",
        "authorized_official_first_name": "GINA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-974-9114",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "KidSPOT",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Judy Perry
• Kaidaija T Perry
• Tawana Michelle Perry, CRT
• Richard E Person, M.D.
• Personal Therapy of Northeast Ark
• Amanda Marie Peters, COTA
• James Peters
• Lawrence Carlton Peters, CRNA
• Hannah Camille Pettit, MHPP
• Joshua Van Pettit, CRNA

• Speech-Language Pathologist in Jonesboro, AR
• Providers in Jonesboro, 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 6, 2019; 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.