NPIMap

Organization Active NPI

Central Arkansas Pediatric Therapy

  • Speech-Language Pathologist
  • Jacksonville, AR
National Provider Identifier
1144624974
Registry record updated Oct 22, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP 637 Issued in AR
Legal business name
CENTRAL ARKANSAS PEDIATRIC THERAPY
Practice address
1701 S Highway 161
Jacksonville, AR 72076-5508
Phone
(501) 650-2677
NPI assigned
Oct 22, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 22, 2014

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

Authorized official

Name
Ms. Carol Lovelace Wadley
Title
Owner
Phone
(501) 650-2677

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP 637 AR Primary

Addresses

Primary practice location

1701 S Highway 161
Jacksonville, AR 72076-5508

Mailing address

8325 Sapphire CV
Sherwood, AR 72120-2386
Phone (501) 650-2677

National Provider Directory

National Provider Directory

Locations

1701 S Highway 161
Jacksonville, AR 72076
Phone (501) 650-2677

NPI Registry JSON

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

{
    "created_epoch": "1413936000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413936000000",
    "number": "1144624974",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "8325 SAPPHIRE CV",
            "city": "SHERWOOD",
            "state": "AR",
            "postal_code": "721202386",
            "telephone_number": "501-650-2677"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1701 S HIGHWAY 161",
            "city": "JACKSONVILLE",
            "state": "AR",
            "postal_code": "720765508",
            "telephone_number": "501-650-2677"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CENTRAL ARKANSAS PEDIATRIC THERAPY",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-22",
        "last_updated": "2014-10-22",
        "status": "A",
        "authorized_official_last_name": "WADLEY",
        "authorized_official_first_name": "CAROL",
        "authorized_official_middle_name": "LOVELACE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "501-650-2677",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP 637",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jacksonville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 22, 2014; 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.