NPIMap

Organization Active NPI

Pediatric Therapy Solutions LLC

  • Physical Therapist
  • Jonesboro, AR
National Provider Identifier
1174966469
Registry record updated Dec 30, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
License
PT2766 Issued in AR
Legal business name
PEDIATRIC THERAPY SOLUTIONS LLC
Practice address
1217 Layman Dr
Jonesboro, AR 72404-9143
Phone
(870) 636-7571
Fax
(870) 934-1270
NPI assigned
Apr 17, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Dec 30, 2016

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

Authorized official

Name
Chamblee Witherspoon, PTNPI 1235202060
Title
Owner
Phone
(870) 636-7571

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 2

Specialty (taxonomy)CodeLicenseStatePrimary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X PT2766 AR Primary
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X OTR2366 AR

Addresses

Primary practice location

1217 Layman Dr
Jonesboro, AR 72404-9143

Mailing address

1217 Layman Dr
Jonesboro, AR 72404-9143
Phone (870) 636-7571

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1366156800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1483056000000",
    "number": "1174966469",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1217 LAYMAN DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049143",
            "telephone_number": "870-636-7571",
            "fax_number": "870-934-1270"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1217 LAYMAN DR",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724049143",
            "telephone_number": "870-636-7571",
            "fax_number": "870-934-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PEDIATRIC THERAPY SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-04-17",
        "last_updated": "2016-12-30",
        "status": "A",
        "authorized_official_last_name": "WITHERSPOON",
        "authorized_official_first_name": "CHAMBLEE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-636-7571",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": "AR",
            "license": "PT2766",
            "primary": true
        },
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR2366",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jonesboro, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2016; 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.