NPIMap

Organization Active NPI

Kidzone Pediatrics, LLC

  • Physical Therapy Clinic/Center
  • Taylor, AR
National Provider Identifier
1104523182
Registry record updated Feb 10, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Therapy Clinic/CenterTaxonomy code 261QP2000X
Legal business name
KIDZONE PEDIATRICS, LLC
Practice address
208 East Pope St
Taylor, AR 71861
Phone
(870) 904-2243
NPI assigned
Feb 10, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 10, 2023

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

Authorized official

Name
Shelby ColvinNPI 1568866762
Title
Owner/Occupational Therapist
Phone
(870) 904-2243

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
Physical Therapy Clinic/Center 261QP2000X Primary

Addresses

Primary practice location

208 East Pope St
Taylor, AR 71861

Mailing address

PO Box 146
Taylor, AR 71861-0146
Phone (870) 904-2243

Other names 1

  • Kidzone Pediatrics Doing business as

National Provider Directory

National Provider Directory

Practitioners 1

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": "1675987200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1675987200000",
    "number": "1104523182",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 146",
            "city": "TAYLOR",
            "state": "AR",
            "postal_code": "718610146",
            "telephone_number": "870-904-2243"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "208 EAST POPE ST",
            "city": "TAYLOR",
            "state": "AR",
            "postal_code": "71861",
            "telephone_number": "870-904-2243"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDZONE PEDIATRICS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-10",
        "last_updated": "2023-02-10",
        "certification_date": "2023-02-03",
        "status": "A",
        "authorized_official_last_name": "COLVIN",
        "authorized_official_first_name": "SHELBY",
        "authorized_official_title_or_position": "OWNER/OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "870-904-2243"
    },
    "taxonomies": [
        {
            "code": "261QP2000X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Physical Therapy",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kidzone Pediatrics",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Taylor, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 10, 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.