NPIMap

Organization Active NPI

Sprouts Therapy Center

  • Physical Therapist
  • Fort Smith, AR
National Provider Identifier
1154059251
Registry record updated Nov 18, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
SPROUTS THERAPY CENTER
Practice address
1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939
Phone
(479) 222-1924
Fax
(479) 358-1455
NPI assigned
Aug 8, 2022
Last updated
Nov 18, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 18, 2022

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

Authorized official

Name
Mrs. Samantha Rae Smith, MS, OTR/LNPI 1861977035
Title
Occupational Therapist
Phone
(501) 772-1461

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 5

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Therapist 225100000X NU Primary
Pediatric Physical Therapist 2251P0200X NU
Occupational Therapist 225X00000X NU
Pediatric Occupational Therapist 225XP0200X NU
Speech-Language Pathologist 235Z00000X NU

Addresses

Primary practice location

1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939

Mailing address

1821 Phoenix Ave Ste a
Fort Smith, AR 72901-7939
Phone (479) 222-1924

National Provider Directory

National Provider Directory

Locations

1821 Phoenix Ave
Ste A
Fort Smith, AR 72901
Phone (479) 222-1924

Practitioners & affiliated clinicians

Practitioners 13

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.

View all 13

NPI Registry JSON

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

{
    "created_epoch": "1659916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1668729600000",
    "number": "1154059251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1821 PHOENIX AVE STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017939",
            "telephone_number": "479-222-1924",
            "fax_number": "479-358-1455"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1821 PHOENIX AVE STE A",
            "city": "FORT SMITH",
            "state": "AR",
            "postal_code": "729017939",
            "telephone_number": "479-222-1924",
            "fax_number": "479-358-1455"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPROUTS THERAPY CENTER",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-08",
        "last_updated": "2022-11-18",
        "certification_date": "2022-11-18",
        "status": "A",
        "authorized_official_last_name": "SMITH",
        "authorized_official_first_name": "SAMANTHA",
        "authorized_official_middle_name": "RAE",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "501-772-1461",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MS, OTR/L"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "",
            "desc": "Physical Therapist",
            "state": "NU",
            "license": null,
            "primary": true
        },
        {
            "code": "2251P0200X",
            "taxonomy_group": "",
            "desc": "Physical Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fort Smith, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 18, 2022; 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.