Active NPI
Children'S Therapy Services, Inc
- Customized Equipment (DME)
- Fayetteville, AR
National Provider Identifier
1235344813
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Customized Equipment (DME)
- License
- MG00703
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| MG00703 | Other | AR | STATE BOARD OF PHARMACY |
Other names 1
- Mobility Plus
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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 Inc
Other organizations with this tax ID 4
Organizations that report the same tax identification number in the National Provider Directory.
-
- Physical Therapist
- Fayetteville, AR
- NPI 1669865333
-
- Behavior Analyst
- Fayetteville, AR
- NPI 1932685203
-
- Developmentally Disabled Services Day Training Agency
- Fayetteville, AR
- NPI 1114762903
-
- Developmental Therapist
- Fayetteville, AR
- NPI 1598021552
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.