NPIMap

Organization Active NPI

Arkansas Regional Therapy Services, LLC

  • Speech-Language Pathologist
  • Fayetteville, AR
National Provider Identifier
1093958654
Registry record updated Oct 28, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
2109 Issued in AR
Legal business name
ARKANSAS REGIONAL THERAPY SERVICES, LLC
Practice address
1875 Main Dr
Fayetteville, AR 72704-5220
Phone
(479) 283-4637
NPI assigned
Apr 13, 2009
Last updated
Oct 28, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 28, 2023

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

Authorized official

Name
Kristy C Brown, MS CCC-SLPNPI 1174572325
Title
Owner
Phone
(479) 283-4637

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
Speech-Language Pathologist 235Z00000X 2109 AR Primary

Addresses

Primary practice location

1875 Main Dr
Fayetteville, AR 72704-5220

Mailing address

1875 Main Dr
Fayetteville, AR 72704-5220
Phone (479) 283-4637

Other identifiers 2

IdentifierTypeStateIssuer
178988742MedicaidAR
5G158OtherARBCBS

Other names 1

  • Arkansas Regional Therapy Services (with no LLC) Other name

National Provider Directory

National Provider Directory

Locations

1875 Main Dr
Fayetteville, AR 72704
Phone (479) 238-4637

2758 E Millennium Dr
Fayetteville, AR 72703
Phone (479) 283-4637

Practitioners & affiliated clinicians

Practitioners 8

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1239580800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1698451200000",
    "number": "1093958654",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1875 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045220",
            "telephone_number": "479-283-4637"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1875 MAIN DR",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727045220",
            "telephone_number": "479-283-4637"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS REGIONAL THERAPY SERVICES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-04-13",
        "last_updated": "2023-10-28",
        "certification_date": "2023-10-28",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "KRISTY",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-283-4637",
        "authorized_official_credential": "MS CCC-SLP"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "2109",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "178988742",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BCBS",
            "identifier": "5G158",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Arkansas Regional Therapy Services (with no LLC)",
            "code": "5",
            "type": "Other Name"
        },
        {
            "organization_name": "Arkansas Regional Therapy Services (with no LLC)",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 28, 2023; 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.