NPIMap

Organization Active NPI

Complete Pediatrics

  • Physical Therapist
  • Little Rock, AR
National Provider Identifier
1083909295
Registry record updated Jun 15, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
2385 Issued in AR
Legal business name
COMPLETE PEDIATRICS
Practice address
6917 Geyer Springs Rd
Suite 1-S
Little Rock, AR 72209-2727
Phone
(501) 570-4004
NPI assigned
Jun 15, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 15, 2011

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

Authorized official

Name
Miss Laura JenningsNPI 1144303694
Title
Owner
Phone
(501) 837-7216

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 3

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X 2385 AR Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X 2013 AR
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X 1949 AR

Addresses

Primary practice location

6917 Geyer Springs Rd
Suite 1-S
Little Rock, AR 72209-2727

Mailing address

6917 Geyer Springs Rd
Suite 1-S
Little Rock, AR 72209-2727
Phone (501) 570-4004

National Provider Directory

National Provider Directory

Locations

6917 Geyer Springs Rd
Ste 1S
Little Rock, AR 72209
Phone (501) 570-4004

Practitioners & affiliated clinicians

Practitioners 7

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

NPI Registry JSON

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

{
    "created_epoch": "1308096000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1308096000000",
    "number": "1083909295",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6917 GEYER SPRINGS RD",
            "address_2": "SUITE 1-S",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722092727",
            "telephone_number": "501-570-4004"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6917 GEYER SPRINGS RD",
            "address_2": "SUITE 1-S",
            "city": "LITTLE ROCK",
            "state": "AR",
            "postal_code": "722092727",
            "telephone_number": "501-570-4004"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COMPLETE PEDIATRICS",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-06-15",
        "last_updated": "2011-06-15",
        "status": "A",
        "authorized_official_last_name": "JENNINGS",
        "authorized_official_first_name": "LAURA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-837-7216",
        "authorized_official_name_prefix": "Miss"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "2385",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "2013",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "1949",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Little Rock, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 15, 2011; 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.