NPIMap

Organization Active NPI

Kidworx Academy

  • Developmentally Disabled Services Day Training Agency
  • Harrison, AR
National Provider Identifier
1427336015
Registry record updated Jul 30, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X
License
OTR1902 Issued in AR
Legal business name
KIDWORX ACADEMY
Practice address
816 N Main St
Harrison, AR 72601-2915
Phone
(870) 688-7348
NPI assigned
Jul 30, 2011
Last updated
Jul 30, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2011

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

Authorized official

Name
Ms. Vicky Lynn Theroux, OTR/LNPI 1407908833
Title
Ceo
Phone
(870) 688-7348

Authorized official NPPES reports the official by name only. The link goes to the one practitioner with that name whose NPPES practice address or phone number is this organization’s.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Developmentally Disabled Services Day Training Agency 251C00000X OTR1902 AR Primary

Addresses

Primary practice location

816 N Main St
Harrison, AR 72601-2915

Mailing address

816 N Main St
Harrison, AR 72601-2915
Phone (870) 688-7348

National Provider Directory

National Provider Directory
Tax ID family
Kidworx Academy2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

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.

NPI Registry JSON

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

{
    "created_epoch": "1311984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311984000000",
    "number": "1427336015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "816 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012915",
            "telephone_number": "870-688-7348"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "816 N MAIN ST",
            "city": "HARRISON",
            "state": "AR",
            "postal_code": "726012915",
            "telephone_number": "870-688-7348"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIDWORX ACADEMY",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-30",
        "last_updated": "2011-07-30",
        "status": "A",
        "authorized_official_last_name": "THEROUX",
        "authorized_official_first_name": "VICKY",
        "authorized_official_middle_name": "LYNN",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "870-688-7348",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "OTR/L"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": "AR",
            "license": "OTR1902",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Harrison, AR

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 30, 2011; 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.