NPIMap

Organization Active NPI

Spot on Pediatric Therapy, LLC

Doing business as Soar Therapy

  • Speech-Language Pathologist
  • Harrison, AR
National Provider Identifier
1205370681
Registry record updated Jul 8, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Speech-Language PathologistTaxonomy code 235Z00000X
License
SP#3747 Issued in AR
Legal business name
SPOT ON PEDIATRIC THERAPY, LLC
Doing business as
Soar Therapy
Practice address
521 N Willow St
Harrison, AR 72601-3518
Phone
(870) 280-3071
NPI assigned
Dec 5, 2016
Last updated
Jul 8, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 8, 2024

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

Authorized official

Name
Sydney GriswoldNPI 1063832871
Title
Speech Therapist
Phone
(870) 688-6140

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
Occupational TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225X00000X AR2149 AR
Speech-Language PathologistGroup: 193200000X MULTI-SPECIALTY GROUP 235Z00000X SP#3747 AR Primary

Addresses

Primary practice location

521 N Willow St
Harrison, AR 72601-3518

Mailing address

150 US 65B Hwy
Western Grove, AR 72685
Phone (870) 688-6140

Other names 1

  • Soar Therapy Doing business as

National Provider Directory

National Provider Directory

Locations

521 N Willow St
Harrison, AR 72601
Phone (870) 280-3071

702 N Main St
Ste B
Harrison, AR 72601
Phone (479) 879-9400

Practitioners & affiliated clinicians

Practitioners 4

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": "1480896000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1720396800000",
    "number": "1205370681",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "150 US 65B HWY",
            "city": "WESTERN GROVE",
            "state": "AR",
            "postal_code": "72685",
            "telephone_number": "870-688-6140"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 N WILLOW ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726013518",
            "telephone_number": "870-280-3071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPOT ON PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-12-05",
        "last_updated": "2024-07-08",
        "certification_date": "2024-06-28",
        "status": "A",
        "authorized_official_last_name": "GRISWOLD",
        "authorized_official_first_name": "SYDNEY",
        "authorized_official_title_or_position": "SPEECH THERAPIST",
        "authorized_official_telephone_number": "870-688-6140"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "AR2149",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#3747",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Soar Therapy",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 8, 2024; 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.