Ramona Thach

Primary specialty

Speech-Language PathologistTaxonomy code 235Z00000X

License

SP#3100 Issued in AR

Practice address

1 Park Dr
Suite a
Holiday Island, AR 72631-9216

Phone

(479) 363-6422

Fax

(479) 363-6763

NPI assigned

Nov 12, 2015

Last updated

Mar 7, 2016By the provider in NPPES

Sex

Female

Sole proprietor

Yes

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

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Medicare enrollment (NPD)

Enrolled

State licenses

Practice roles

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

• Spine and Sports Therapy LLC

  • Physical Therapist
  • Lowell, AR
  • NPI 1730454935
  NPD (past)

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

{
    "created_epoch": "1447286400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1457308800000",
    "number": "1427421403",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1 PARK DR",
            "address_2": "STE A",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726319405",
            "telephone_number": "479-363-6422",
            "fax_number": "479-363-6763"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1 PARK DR",
            "address_2": "SUITE A",
            "city": "HOLIDAY ISLAND",
            "state": "AR",
            "postal_code": "726319216",
            "telephone_number": "479-363-6422",
            "fax_number": "479-363-6763"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "THACH",
        "first_name": "RAMONA",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2015-11-12",
        "last_updated": "2016-03-07",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "235Z00000X",
            "taxonomy_group": "",
            "desc": "Speech-Language Pathologist",
            "state": "AR",
            "license": "SP#3100",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Steve Rose, MD
• Jacquelynn Skaarup, COTA
• Stephanie Ann Spiva, COTA
• Shania Stehlik, COTA
• Gregory Michael Tancibok, LPC
• Sarah Adele Vaughan, DPT
• Gia Marie Voorhies, OTR/L
• Zachary Waller
• Wolf Wellness Center, PLLC
• Dawson Zimmerman, DC

• Speech-Language Pathologist in Holiday Island, AR
• Providers in Holiday Island, AR by specialty
• Speech-Language Pathologist in Arkansas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 7, 2016; 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.