Arkansas Therapy Outreach Contractor

Primary specialty

Early Intervention Provider AgencyTaxonomy code 252Y00000X

Legal business name

ARKANSAS THERAPY OUTREACH CONTRACTOR

Practice address

2615 N Prickett Rd Ste 3
Bryant, AR 72022-7546

Phone

(501) 847-7337

NPI assigned

Aug 23, 2013

Last updated

Aug 23, 2013By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Charla Moore

Title

Speech Language Pathologist

Phone

(501) 358-9894

Specialties & licenses 1

Addresses

Locations

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.

• Natalie Johnson

  • Occupational Therapist
  • Little Rock, AR
  • NPI 1891138244
  NPD (past)
• Desiree Quinn, COTA/L

  • Occupational Therapy Assistant
  • Bryant, AR
  • NPI 1871916791
  NPD (past)
• Jessica Roberts

  • Developmental Therapist
  • Bryant, AR
  • NPI 1225455751
  NPD (past)

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

{
    "created_epoch": "1377216000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1377216000000",
    "number": "1336573583",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2615 N PRICKETT RD STE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227546"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2615 N PRICKETT RD STE 3",
            "city": "BRYANT",
            "state": "AR",
            "postal_code": "720227546",
            "telephone_number": "501-847-7337"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ARKANSAS THERAPY OUTREACH CONTRACTOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-23",
        "last_updated": "2013-08-23",
        "status": "A",
        "authorized_official_last_name": "MOORE",
        "authorized_official_first_name": "CHARLA",
        "authorized_official_title_or_position": "SPEECH LANGUAGE PATHOLOGIST",
        "authorized_official_telephone_number": "501-358-9894"
    },
    "taxonomies": [
        {
            "code": "252Y00000X",
            "taxonomy_group": "",
            "desc": "Early Intervention Provider Agency",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Arkansas Maxillofacial Surgery Center
• Arkansas Pediatric Clinic, PLLC
• Arkansas Pediatric Clinic, PLLC
• Arkansas Premier Medical Clinic
• Arkansas Therapy Outreach
• Arkansas Wellness Counseling LLC
• Bryan Gardner Armstrong, O.D.
• Kristen Faith Arnold, MS,DT
• Atlas Healthcare Associates, LLC
• Autism in Motion Clinics, LLC

• Early Intervention Provider Agency in Bryant, AR
• Providers in Bryant, AR by specialty
• Early Intervention Provider Agency in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 23, 2013; 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.