Organization Active NPI

Children'S Therapy Services, Inc

  • Customized Equipment (DME)
  • Fayetteville, AR
National Provider Identifier
1235344813
Registry record updated Jul 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Customized Equipment (DME)Taxonomy code 332BC3200X
License
MG00703 Issued in AR
Legal business name
CHILDREN'S THERAPY SERVICES, INC
Practice address
2474 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4519
Phone
(479) 521-8326
NPI assigned
May 14, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 4, 2008

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

Authorized official

Name
Kymbrly Hannah, PT
Title
President
Phone
(479) 530-5791

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Customized Equipment (DME) 332BC3200X MG00703 AR Primary

Addresses

Primary practice location

2474 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4519

Mailing address

2474 E Joyce Blvd
Suite 2
Fayetteville, AR 72703-4519
Phone (479) 521-8326

Other identifiers 1

IdentifierTypeStateIssuer
MG00703OtherARSTATE BOARD OF PHARMACY

Other names 1

  • Mobility Plus Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in AR

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100930022618 AR DME Supplier - Independently-Practicing Physical Therapist 2860693884 Practice locations: Fayetteville, AR

National Provider Directory

National Provider Directory
Tax ID family
Children'S Therapy Services Inc5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1179100800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1215129600000",
    "number": "1235344813",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2474 E JOYCE BLVD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034519",
            "telephone_number": "479-521-8326"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2474 E JOYCE BLVD",
            "address_2": "SUITE 2",
            "city": "FAYETTEVILLE",
            "state": "AR",
            "postal_code": "727034519",
            "telephone_number": "479-521-8326"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHILDREN'S THERAPY SERVICES, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-14",
        "last_updated": "2008-07-04",
        "status": "A",
        "authorized_official_last_name": "HANNAH",
        "authorized_official_first_name": "KYMBRLY",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "479-530-5791",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332BC3200X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies, Customized Equipment",
            "state": "AR",
            "license": "MG00703",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "STATE BOARD OF PHARMACY",
            "identifier": "MG00703",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mobility Plus",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Fayetteville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 4, 2008; 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.

Verify at the official NPI Registry.