Radiance Pediatric Therapy, LLC

Primary specialty

Pediatric Occupational TherapistTaxonomy code 225XP0200X

Legal business name

RADIANCE PEDIATRIC THERAPY, LLC

Practice address

207 NW Highland Rd
Bentonville, AR 72712-7198

Phone

(479) 282-4477

Fax

(479) 391-5269

NPI assigned

Jan 8, 2025

Organization subpart

No

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

Authorized official

Name

Mrs. Jennifer Kloster, OTR/LNPI 1770137200

Title

Owner

Phone

(479) 282-4477

Specialties & licenses 3

Addresses

Locations

Practitioners 1

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

• Jennifer Kristin Kloster

  • Pediatric Occupational Therapist
  • Bentonville, AR
  • NPI 1770137200

  Multi-Specialty

  NPD (past) Authorized official

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

{
    "created_epoch": "1736294400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1740960000000",
    "number": "1295545721",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "207 NW HIGHLAND RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127198",
            "telephone_number": "479-282-4477",
            "fax_number": "479-391-5269"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "207 NW HIGHLAND RD",
            "city": "BENTONVILLE",
            "state": "AR",
            "postal_code": "727127198",
            "telephone_number": "479-282-4477",
            "fax_number": "479-391-5269"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "RADIANCE PEDIATRIC THERAPY, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-01-08",
        "last_updated": "2025-03-03",
        "certification_date": "2025-03-03",
        "status": "A",
        "authorized_official_last_name": "KLOSTER",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "479-282-4477",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "2251P0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "225XP0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Occupational Therapist, Pediatrics",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "235Z00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Speech-Language Pathologist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• QHG of Springdale Inc
• Quality Mobile Medical Imaging LLC
• Danielle A Quesnell, DPT
• Paige Juliane Quinlan
• Jack Mason Rader, DC
• Cody Ragland, MHPP
• Rebecca Rainforth
• Melissa Rambadt, LAC
• Sara Ramberg
• Rodney Rambo, MHPP

• Pediatric Occupational Therapist in Bentonville, AR
• Providers in Bentonville, AR by specialty
• Pediatric Occupational Therapist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2025; 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.