Organization Active NPI

The Ark Pediatric Therapy Services

  • Physical Rehabilitation Occupational Therapist
  • Decatur, AL
National Provider Identifier
1104684497
Registry record updated Jun 26, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical Rehabilitation Occupational TherapistTaxonomy code 225XP0019X
Legal business name
THE ARK PEDIATRIC THERAPY SERVICES
Practice address
207 Commerce Cir SW Ste C
Decatur, AL 35601-6860
Phone
(256) 580-5045
Fax
(256) 274-0257
NPI assigned
Mar 11, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 26, 2024

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

Authorized official

Name
Jonnie J Simmons
Title
Owner
Phone
(256) 345-6365

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225XP0019X Primary

Addresses

Primary practice location

207 Commerce Cir SW Ste C
Decatur, AL 35601-6860

Mailing address

207 Commerce Cir SW Ste C
Decatur, AL 35601-6860
Phone (256) 345-6365

National Provider Directory

National Provider Directory

Locations

207 Commerce Cir SW
Ste C
Decatur, AL 35601
Phone (256) 580-5045

Practitioners & affiliated clinicians

Practitioners 4

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": "1710115200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1719360000000",
    "number": "1104684497",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 COMMERCE CIR SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016860",
            "telephone_number": "256-345-6365"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 COMMERCE CIR SW STE C",
            "city": "DECATUR",
            "state": "AL",
            "postal_code": "356016860",
            "telephone_number": "256-580-5045",
            "fax_number": "256-274-0257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE ARK PEDIATRIC THERAPY SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-03-11",
        "last_updated": "2024-06-26",
        "certification_date": "2024-06-26",
        "status": "A",
        "authorized_official_last_name": "SIMMONS",
        "authorized_official_first_name": "JONNIE",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "256-345-6365"
    },
    "taxonomies": [
        {
            "code": "225XP0019X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Physical Rehabilitation",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Decatur, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 26, 2024; 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.