Active NPI
Kailyn Dearing
- Physical Therapist
- Bella Vista, AR
National Provider Identifier
1164073037
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 12275
- Practice address
- 1 Ranskill Cir
Bella Vista, AR 72715-8922 - Phone
- (479) 685-2338
- NPI assigned
- Sep 23, 2019
- Sex
- Female
- Sole proprietor
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 12275 | TN | Primary |
Addresses
Primary practice location
1 Ranskill Cir
Bella Vista, AR 72715-8922
Mailing address
1 Ranskill Cir
Bella Vista, AR 72715-8922
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 12275 | TN | MD | Physical Therapist |
Practice roles
| Organization | Specialty | Status | New patients |
|---|---|---|---|
| Ozarks Medical Center | Current | Accepting new patients | |
| Ozarks Medical Center | Current | Accepting new patients |
Locations
1100 N Kentucky Ave
West Plains, MO 65775
Phone (417) 257-5959
Organizations & group practices 2
Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.
-
- General Acute Care Hospital
- West Plains, MO
- NPI 1831115641
-
- Psychiatric Hospital Unit
- West Plains, MO
- NPI 1235929027
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1569196800000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1569196800000",
"number": "1164073037",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1 RANSKILL CIR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727158922"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1 RANSKILL CIR",
"city": "BELLA VISTA",
"state": "AR",
"postal_code": "727158922",
"telephone_number": "479-685-2338"
}
],
"practiceLocations": [],
"basic": {
"last_name": "DEARING",
"first_name": "KAILYN",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2019-09-23",
"last_updated": "2019-09-23",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "TN",
"license": "12275",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Bella Vista, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.