Organization Active NPI

Cornerstone Kids Therapy Services, Inc.

  • Occupational Therapist
  • Batesville, AR
National Provider Identifier
1407862253
Registry record updated Aug 22, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
OTR1758 Issued in AR
Legal business name
CORNERSTONE KIDS THERAPY SERVICES, INC.
Practice address
1515 Harrison St Ste B
Batesville, AR 72501-7222
Phone
(870) 793-1925
NPI assigned
Aug 1, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 22, 2020

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

Authorized official

Name
Miss Casey L Connell, MSNPI 1376517276
Title
Occupational Therapist
Phone
(870) 793-1925

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)CodeLicenseStatePrimary
Occupational TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225X00000X OTR1758 AR Primary

Addresses

Primary practice location

1515 Harrison St Ste B
Batesville, AR 72501-7222

Mailing address

1515 Harrison St Ste B
Batesville, AR 72501-7222
Phone (870) 793-1925

Other identifiers 2

IdentifierTypeStateIssuer
7227677OtherARAETNA
5F161OtherARARKANSAS BLUE CROSS

National Provider Directory

National Provider Directory

Locations

1515 Harrison St
Ste B
Batesville, AR 72501
Phone (870) 793-1925

Practitioners & affiliated clinicians

Practitioners 1

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

NPI Registry JSON

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

{
    "created_epoch": "1154390400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1407862253",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 HARRISON ST STE B",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017222",
            "telephone_number": "870-793-1925"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 HARRISON ST STE B",
            "city": "BATESVILLE",
            "state": "AR",
            "postal_code": "725017222",
            "telephone_number": "870-793-1925"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CORNERSTONE KIDS THERAPY SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-01",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "CONNELL",
        "authorized_official_first_name": "CASEY",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OCCUPATIONAL THERAPIST",
        "authorized_official_telephone_number": "870-793-1925",
        "authorized_official_name_prefix": "Miss",
        "authorized_official_credential": "MS"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Occupational Therapist",
            "state": "AR",
            "license": "OTR1758",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "AETNA",
            "identifier": "7227677",
            "state": "AR"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "ARKANSAS BLUE CROSS",
            "identifier": "5F161",
            "state": "AR"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Batesville, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.