Giddy Up Therapy, LLC

Primary specialty

Developmental TherapistTaxonomy code 222Q00000X

Legal business name

GIDDY UP THERAPY, LLC

Practice address

4701 N Carbon City Rd
Ozark, AR 72949

Phone

(479) 461-5251

NPI assigned

Dec 13, 2019

Organization subpart

No

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

Authorized official

Name

Krista K CrainerNPI 1033752290

Title

Owner

Phone

(479) 461-5251

Specialties & licenses 1

Addresses

Electronic endpoints 1

Practitioners 1

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

• Krista Crainer

  • Developmental Therapist
  • Ozark, AR
  • NPI 1033752290
  NPD Authorized official

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

{
    "created_epoch": "1576195200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1576195200000",
    "number": "1093353609",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 62",
            "city": "PARIS",
            "state": "AR",
            "postal_code": "728550062",
            "telephone_number": "479-461-5251"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4701 N CARBON CITY RD",
            "city": "OZARK",
            "state": "AR",
            "postal_code": "72949",
            "telephone_number": "479-461-5251"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GIDDY UP THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-12-13",
        "last_updated": "2019-12-13",
        "certification_date": "2019-12-13",
        "status": "A",
        "authorized_official_last_name": "CRAINER",
        "authorized_official_first_name": "KRISTA",
        "authorized_official_middle_name": "K",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-461-5251"
    },
    "taxonomies": [
        {
            "code": "222Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Developmental Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "giddyuptherapy@outlook.com",
            "affiliation": "N",
            "address_1": "4701 N Carbon City Rd",
            "city": "Ozark",
            "state": "AR",
            "country_code": "US",
            "postal_code": "72949",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

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• Developmental Therapist in Ozark, AR
• Providers in Ozark, AR by specialty
• Developmental Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 13, 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.