Active NPI
Infinity Therapy, LLC
- Speech-Language Pathologist
- Benton, AR
National Provider Identifier
1295197135
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Speech-Language Pathologist
- License
- 927660614
- Legal business name
- INFINITY THERAPY, LLC
- Practice address
- 7327 Worth Ave E
Benton, AR 72019 - Phone
- (501) 773-7155
- NPI assigned
- Mar 21, 2016
- Last updated
- Jun 4, 2019
- 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
- Mrs. Portia Simone Carr, MS,CCC-SLP
- Title
- Owner
- Phone
- (501) 773-7155
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 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Speech-Language Pathologist | 235Z00000X | 927660614 | AR | Primary |
Addresses
Primary practice location
7327 Worth Ave E
Benton, AR 72019
Mailing address
7327 Worth Avenue East
Benton, AR 72019
UM
Phone (501) 773-7155
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in AR
Enrollment records 1
National Provider Directory
National Provider DirectoryLocations
2213 N Reynolds Rd
Ste 3
Bryant, AR 72022
Phone (501) 909-4123
Practitioners & affiliated clinicians
Practitioners 3
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.
-
- Speech-Language Pathologist
- Benton, AR
- NPI 1093999518
-
- Speech-Language Pathologist
- Little Rock, AR
- NPI 1821500653
-
- Speech-Language Pathologist
- Little Rock, AR
- NPI 1922519750
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1458518400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1559606400000",
"number": "1295197135",
"addresses": [
{
"country_code": "UM",
"country_name": "United States Minor Outlying Islands",
"address_purpose": "MAILING",
"address_type": "FGN",
"address_1": "7327 WORTH AVENUE EAST",
"city": "BENTON",
"state": "AR",
"postal_code": "72019",
"telephone_number": "501-773-7155"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "7327 WORTH AVE E",
"city": "BENTON",
"state": "AR",
"postal_code": "72019",
"telephone_number": "501-773-7155"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "INFINITY THERAPY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-03-21",
"last_updated": "2019-06-04",
"status": "A",
"authorized_official_last_name": "CARR",
"authorized_official_first_name": "PORTIA",
"authorized_official_middle_name": "SIMONE",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "501-773-7155",
"authorized_official_name_prefix": "Mrs.",
"authorized_official_credential": "MS,CCC-SLP"
},
"taxonomies": [
{
"code": "235Z00000X",
"taxonomy_group": "",
"desc": "Speech-Language Pathologist",
"state": "AR",
"license": "927660614",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Benton, AR
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2019; 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.