Speer Pediatric Therapy, PLLC

Primary specialty

Pediatric Physical TherapistTaxonomy code 2251P0200X

License

PT3045 Issued in AR

Legal business name

SPEER PEDIATRIC THERAPY, PLLC

Practice address

2729 East Nettleton Suite D
Jonesboro, AR 72401

Phone

(870) 275-6438

Fax

(870) 275-6439

NPI assigned

Sep 6, 2012

Organization subpart

No

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

Authorized official

Name

Mrs. Wendi Speer, MPTNPI 1780862839

Title

Owner

Phone

(870) 275-6438

Specialties & licenses 3

Addresses

Other identifiers 1

Locations

Practitioners 4

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

• Wendi Michelle Speer, PT

  • Pediatric Physical Therapist
  • Jonesboro, AR
  • NPI 1780862839

  Pediatrics

  NPD (past) Authorized official
• Heather Leigh Hopkins

  • Speech-Language Assistant
  • Jonesboro, AR
  • NPI 1124377122
  NPD (past)
• Chastity Skaggs, COTA/L

  • Occupational Therapy Assistant
  • Helena, AR
  • NPI 1558773101
  NPD (past)
• Neal Tice, DPT

  • Physical Therapist
  • Jonesboro, AR
  • NPI 1013428671
  NPD (past)

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

{
    "created_epoch": "1346889600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1434067200000",
    "number": "1285983148",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2729 E NETTLETON AVE STE B",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "724014545"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2729 EAST NETTLETON SUITE D",
            "city": "JONESBORO",
            "state": "AR",
            "postal_code": "72401",
            "telephone_number": "870-275-6438",
            "fax_number": "870-275-6439"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "SPEER PEDIATRIC THERAPY, PLLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-09-06",
        "last_updated": "2015-06-12",
        "status": "A",
        "authorized_official_last_name": "SPEER",
        "authorized_official_first_name": "WENDI",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "870-275-6438",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "MPT"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": "AR",
            "license": "PT3045",
            "primary": true
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": "AR",
            "license": "OTR1928",
            "primary": false
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#2878",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "192929742",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Specialty Pediatric and Autism Resource Clinic of Arkansas
• Speech Pathology Associates of Northeast Arkansas
• Speechworks Therapy Services LLC
• Charlette Speed
• James Aaron Speed Jr., MHPP
• Madison Speer, COTA
• Wendi Michelle Speer, PT
• Shane R Speights, D.O.
• Brittany Spence, APRN
• Kay Harmon Spence, LCSW

• Pediatric Physical Therapist in Jonesboro, AR
• Providers in Jonesboro, AR by specialty
• Pediatric Physical Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 12, 2015; 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.