Active NPI
Kids Spot LLC
- Physical Therapy Clinic/Center
- Springdale, AR
National Provider Identifier
1174845358
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapy Clinic/Center
- Legal business name
- KIDS SPOT LLC
- Practice address
- 724 Deaver St
Springdale, AR 72764-5356 - Phone
- (479) 259-2339
- Fax
- (479) 439-8600
- NPI assigned
- Feb 16, 2010
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Hillary Boyd, DPT
- Title
- Owner, Clinical Director
- Phone
- (479) 259-2339
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Practitioners 41
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Physical Therapist
- Springdale, AR
- NPI 1518379015
-
- Occupational Therapist
- Springdale, AR
- NPI 1811120785
-
- Speech-Language Pathologist
- Springdale, AR
- NPI 1649611484
-
- Occupational Therapist
- Springdale, AR
- NPI 1780441394
-
- Occupational Therapist
- Springdale, AR
- NPI 1073128526
-
- Speech-Language Pathologist
- Springdale, AR
- NPI 1356828321
Single Specialty
-
- Physical Therapist
- Springdale, AR
- NPI 1497421994
-
- Case Manager/Care Coordinator
- Springdale, AR
- NPI 1417319385
-
- Occupational Therapy Assistant
- Springdale, AR
- NPI 1265188452
-
- Pediatric Occupational Therapist
- Springdale, AR
- NPI 1437765930
-
- Speech-Language Pathologist
- Fort Smith, AR
- NPI 1306469697
-
- Physical Therapist
- Springdale, AR
- NPI 1194491753
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20221024001005 | AR | DME Supplier - Independently-Practicing Physical Therapist | 5991171589 | Practice locations: Springdale, AR |
National Provider Directory
National Provider DirectoryLocations
724 Deaver St
Springdale, AR 72764
Phone (479) 259-2339
105 S Blair St
Springdale, AR 72764
Phone (479) 222-1082
Specialties & licenses 3
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | SP#1904 | AR | |
| Physical Therapy Clinic/Center | 261QP2000X | Primary | ||
| Durable Medical Equipment & Medical Supplies | 332B00000X |
Addresses
NPPES NPI RegistryPrimary practice location
724 Deaver St
Springdale, AR 72764-5356
Mailing address
724 Deaver St
Springdale, AR 72764-5356
Phone (479) 259-2339
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 180643742 | Medicaid | AR |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on Mar 4, 2024.
{
"created_epoch": "1266278400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1709510400000",
"number": "1174845358",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "724 DEAVER ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645356",
"telephone_number": "479-259-2339",
"fax_number": "479-439-8600"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "724 DEAVER ST",
"city": "SPRINGDALE",
"state": "AR",
"postal_code": "727645356",
"telephone_number": "479-259-2339",
"fax_number": "479-439-8600"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "KIDS SPOT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2010-02-16",
"last_updated": "2024-03-04",
"certification_date": "2024-03-04",
"status": "A",
"authorized_official_last_name": "BOYD",
"authorized_official_first_name": "HILLARY",
"authorized_official_title_or_position": "OWNER, CLINICAL DIRECTOR",
"authorized_official_telephone_number": "479-259-2339",
"authorized_official_credential": "DPT"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "193400000X MULTIPLE SINGLE SPECIALTY GROUP",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "SP#1904",
"primary": false
},
{
"code": "261QP2000X",
"taxonomy_group": "",
"desc": "Clinic/Center, Physical Therapy",
"state": null,
"license": null,
"primary": true
},
{
"code": "332B00000X",
"taxonomy_group": "",
"desc": "Durable Medical Equipment & Medical Supplies",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "180643742",
"state": "AR"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Springdale, AR
- Dennis Darryl Ketcher, RN
- Sierra J Ketchum, LMSW
- Allison Laney Key
- Karlie Danielle Keys
- Kid Gloves Surgical Specialists, PLLC
- Kids Unlimited Learning Academy of Springdale
- Kids Unlimited Learning Academy of Springdale
- Kids Unlimited Learning Academy of Springdale
- Kidscorp of Fayetteville, Inc
- Ashley Nicole Kiersey Paschal
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 4, 2024; 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.