Active NPI
Terra Kinder, PT, DPT
- Physical Therapist
- Ash Flat, AR
National Provider Identifier
1184170342
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Physical Therapist
- License
- 4217
- Practice address
- 2 Tuff St
Ash Flat, AR 72513-9755 - Phone
- (870) 994-7778
- Fax
- (870) 994-2531
- NPI assigned
- Aug 28, 2016
- Last updated
- Aug 28, 2016
- 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 | 4217 | AR | Primary |
Addresses
Primary practice location
2 Tuff St
Ash Flat, AR 72513-9755
Mailing address
2 Tuff St
Ash Flat, AR 72513-9755
Phone (870) 994-7778
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
National Provider Directory- Medicare enrollment (NPD)
- Enrolled
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 4217 | AR | MD | Physical Therapist |
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1472342400000",
"enumeration_type": "NPI-1",
"last_updated_epoch": "1472342400000",
"number": "1184170342",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "2 TUFF ST",
"city": "ASH FLAT",
"state": "AR",
"postal_code": "725139755",
"telephone_number": "870-994-7778",
"fax_number": "870-994-2531"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2 TUFF ST",
"city": "ASH FLAT",
"state": "AR",
"postal_code": "725139755",
"telephone_number": "870-994-7778",
"fax_number": "870-994-2531"
}
],
"practiceLocations": [],
"basic": {
"last_name": "KINDER",
"first_name": "TERRA",
"credential": "PT, DPT",
"sole_proprietor": "NO",
"sex": "F",
"enumeration_date": "2016-08-28",
"last_updated": "2016-08-28",
"status": "A"
},
"taxonomies": [
{
"code": "225100000X",
"taxonomy_group": "",
"desc": "Physical Therapist",
"state": "AR",
"license": "4217",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Ash Flat, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 28, 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.