NPIMap

Organization Active NPI

In-Sync Pediatric Therapy

  • Clinic/Center
  • Van Buren, AR
National Provider Identifier
1073704516
Registry record updated May 19, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinic/CenterTaxonomy code 261Q00000X
Legal business name
IN-SYNC PEDIATRIC THERAPY
Practice address
1109 Fayetteville Road
Van Buren, AR 72956
Phone
(479) 474-6444
Fax
(479) 474-6446
NPI assigned
Aug 8, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 19, 2016

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

Authorized official

Name
Jocelyn Mitchelle, MS, OTR/LNPI 1114126422
Title
Owner
Phone
(479) 474-6444

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
Clinic/Center 261Q00000X Primary

Addresses

Primary practice location

1109 Fayetteville Road
Van Buren, AR 72956

Mailing address

1109 Fayetteville Road
Van Buren, AR 72956
Phone (479) 474-6444

National Provider Directory

National Provider Directory

Locations

1109 Fayetteville Rd
Van Buren, AR 72956
Phone (479) 474-6444

Practitioners & affiliated clinicians

Practitioners 86

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

View all 86

NPI Registry JSON

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

{
    "created_epoch": "1186531200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1463616000000",
    "number": "1073704516",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1109 FAYETTEVILLE ROAD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "72956",
            "telephone_number": "479-474-6444",
            "fax_number": "479-474-6446"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1109 FAYETTEVILLE ROAD",
            "city": "VAN BUREN",
            "state": "AR",
            "postal_code": "72956",
            "telephone_number": "479-474-6444",
            "fax_number": "479-474-6446"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "IN-SYNC PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-08-08",
        "last_updated": "2016-05-19",
        "status": "A",
        "authorized_official_last_name": "MITCHELLE",
        "authorized_official_first_name": "JOCELYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-474-6444",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "261Q00000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Buren, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 19, 2016; 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.