NPIMap

Organization Active NPI

Jarvis Pediatric Therapy Inc.

  • Occupational Therapist
  • Springdale, AR
National Provider Identifier
1164859039
Registry record updated Oct 8, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OT-A806 Issued in AR
Legal business name
JARVIS PEDIATRIC THERAPY INC.
Practice address
986 Elmwood St Ste B
Springdale, AR 72762-2720
Phone
(479) 750-7778
Fax
(479) 750-7708
NPI assigned
Oct 8, 2013
Last updated
Oct 8, 2013By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 8, 2013

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

Authorized official

Name
Wendy JarvisNPI 1437116027
Title
Owner
Phone
(479) 750-7778

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X OT-A806 AR Primary

Addresses

Primary practice location

986 Elmwood St Ste B
Springdale, AR 72762-2720

Mailing address

986 Elmwood St Ste B
Springdale, AR 72762-2720
Phone (479) 750-7778

National Provider Directory

National Provider Directory

Locations

986 Elmwood St
Ste B
Springdale, AR 72762
Phone (479) 750-7778

Practitioners & affiliated clinicians

Practitioners 6

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.

NPI Registry JSON

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

{
    "created_epoch": "1381190400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1381190400000",
    "number": "1164859039",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "986 ELMWOOD ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622720",
            "telephone_number": "479-750-7778",
            "fax_number": "479-750-7708"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "986 ELMWOOD ST STE B",
            "city": "SPRINGDALE",
            "state": "AR",
            "postal_code": "727622720",
            "telephone_number": "479-750-7778",
            "fax_number": "479-750-7708"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JARVIS PEDIATRIC THERAPY INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-10-08",
        "last_updated": "2013-10-08",
        "status": "A",
        "authorized_official_last_name": "JARVIS",
        "authorized_official_first_name": "WENDY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-750-7778"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OT-A806",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Springdale, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 8, 2013; 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.